25D2068661 CLIA NUMBER - BENEFIELD EYE CARE, PC

Laboratory Demographics

  • CLIA Code: 25D2068661
  • Facility Name: BENEFIELD EYE CARE, PC
  • Facility Address: 14225 DEDEAUX ROAD
    GULFPORT, MS
    ZIP 39503
  • Facility Phone: 228 328-0972
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DONALD W. BENEFIELD
  • NPI Number: 1104879196
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 25D2068661
LAB Type Physician Office
Facility Name BENEFIELD EYE CARE, PC
Street 14225 DEDEAUX ROAD
City GULFPORT
State MS
ZIP 39503
Phone 228 328-0972
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2023
Certificate Expiration Date 11/7/2025
Facility Type Physician Office
Lab Director DONALD W. BENEFIELD

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