25D2083284 CLIA NUMBER - MISS-LOU EYE CARE

Laboratory Demographics

  • CLIA Code: 25D2083284
  • Facility Name: MISS-LOU EYE CARE
  • Facility Address: 202 ADVOCATE ROW
    VIDALIA, LA
    ZIP 71373
  • Facility Phone: 601 443-9876
  • Facility Type: Other - OPTOMETRIST OFFICE
  • Facility Type: Waiver
  • Lab Director: BRIDGET A. MILLIKEN
  • NPI Number: 1952651523
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 25D2083284
LAB Type Other - OPTOMETRIST OFFICE
Facility Name MISS-LOU EYE CARE
Street 202 ADVOCATE ROW
City VIDALIA
State LA
ZIP 71373
Phone 601 443-9876
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2024
Certificate Expiration Date 9/1/2026
Facility Type Other - OPTOMETRIST OFFICE
Lab Director BRIDGET A. MILLIKEN

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