25D2017410 CLIA NUMBER - FRESENIUS MEDICAL CARE LAKELAND HOME PROGRAM

Laboratory Demographics

  • CLIA Code: 25D2017410
  • Facility Name: FRESENIUS MEDICAL CARE LAKELAND HOME PROGRAM
  • Facility Address: 1010 LAKELAND SQUARE EXTENSION STE A
    FLOWOOD, MS
    ZIP 39232
  • Facility Phone: 601 932-2124
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. MARK N. KLEIN
  • NPI Number: 1497193023
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2017410
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRESENIUS MEDICAL CARE LAKELAND HOME PROGRAM
Street 1010 LAKELAND SQUARE EXTENSION STE A
City FLOWOOD
State MS
ZIP 39232
Phone 601 932-2124
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. MARK N. KLEIN

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