25D2053255 CLIA NUMBER - EYECARE SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 25D2053255
  • Facility Name: EYECARE SURGERY CENTER LLC
  • Facility Address: 1501 LAKELAND DRIVE SUITE 101
    JACKSON, MS
    ZIP 39216
  • Facility Phone: 601 366-5777
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. KIRK R. JEFFREYS III
  • NPI Number: 1821336371
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2053255
LAB Type Ambulatory Surgery Center
Facility Name EYECARE SURGERY CENTER LLC
Street 1501 LAKELAND DRIVE SUITE 101
City JACKSON
State MS
ZIP 39216
Phone 601 366-5777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2025
Certificate Expiration Date 1/28/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. KIRK R. JEFFREYS III

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