25D2000811 CLIA NUMBER - CANTON VISION CLINIC PA

Laboratory Demographics

  • CLIA Code: 25D2000811
  • Facility Name: CANTON VISION CLINIC PA
  • Facility Address: 1185 HART STREET
    CANTON, MS
    ZIP 39046
  • Facility Phone: 601 859-3464
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM B. CRAIG
  • NPI Number: 1174607477
  • Taxonomy: 152W00000X - Optometrist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 25D2000811
LAB Type Physician Office
Facility Name CANTON VISION CLINIC PA
Street 1185 HART STREET
City CANTON
State MS
ZIP 39046
Phone 601 859-3464
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2023
Certificate Expiration Date 12/6/2025
Facility Type Physician Office
Lab Director WILLIAM B. CRAIG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025