25D2050291 CLIA NUMBER - MISSISSIPPI EYE CARE PHILADELPHIA

Laboratory Demographics

  • CLIA Code: 25D2050291
  • Facility Name: MISSISSIPPI EYE CARE PHILADELPHIA
  • Facility Address: 1054 AIR PARK RD
    PHILADELPHIA, MS
    ZIP 39350
  • Facility Phone: 601 656-3296
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. R KENT STRIBLING
  • NPI Number: 1346334554
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 25D2050291
LAB Type Physician Office
Facility Name MISSISSIPPI EYE CARE PHILADELPHIA
Street 1054 AIR PARK RD
City PHILADELPHIA
State MS
ZIP 39350
Phone 601 656-3296
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