25D2050135 CLIA NUMBER - EYECARE PROFESSIONALS PA

Laboratory Demographics

  • CLIA Code: 25D2050135
  • Facility Name: EYECARE PROFESSIONALS PA
  • Facility Address: 1501 LAKELAND DRIVE SUITE 100
    JACKSON, MS
    ZIP 39216
  • Facility Phone: 601 366-1085
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KIRK R. JEFFREYS
  • NPI Number: 1932224748
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 25D2050135
LAB Type Physician Office
Facility Name EYECARE PROFESSIONALS PA
Street 1501 LAKELAND DRIVE SUITE 100
City JACKSON
State MS
ZIP 39216
Phone 601 366-1085
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2024
Certificate Expiration Date 11/19/2026
Facility Type Physician Office
Lab Director KIRK R. JEFFREYS

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