25D2050152 CLIA NUMBER - SOUTHERN EYE PHYSICIANS CENTER LLC

Laboratory Demographics

  • CLIA Code: 25D2050152
  • Facility Name: SOUTHERN EYE PHYSICIANS CENTER LLC
  • Facility Address: #1 SYCAMORE SUITE K
    PICAYUNE, MS
    ZIP 39466
  • Facility Phone: 601 251-3937
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CAMERON S. GRIFFITH
  • NPI Number: 1205352127
  • Taxonomy: 335E00000X - Prosthetic/Orthotic Supplier

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CLIA Record

Field Name Field Value
CLIA Number 25D2050152
LAB Type Physician Office
Facility Name SOUTHERN EYE PHYSICIANS CENTER LLC
Street #1 SYCAMORE SUITE K
City PICAYUNE
State MS
ZIP 39466
Phone 601 251-3937
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 CAMERON S. GRIFFITH

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