25D2050290 CLIA NUMBER - MISSISSIPPI EYE CARE LOUISVILLE

Laboratory Demographics

  • CLIA Code: 25D2050290
  • Facility Name: MISSISSIPPI EYE CARE LOUISVILLE
  • Facility Address: 14994 W MAIN ST
    LOUISVILLE, MS
    ZIP 39339
  • Facility Phone: 662 773-3494
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. R KENT STRIBLING
  • NPI Number: 1184737017
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 25D2050290
LAB Type Physician Office
Facility Name MISSISSIPPI EYE CARE LOUISVILLE
Street 14994 W MAIN ST
City LOUISVILLE
State MS
ZIP 39339
Phone 662 773-3494
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/26/2024
Certificate Expiration Date 11/25/2026
Facility Type Physician Office
Lab Director DR. R KENT STRIBLING

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