25D2084461 CLIA NUMBER - SPECIALTY SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 25D2084461
  • Facility Name: SPECIALTY SURGERY CENTER, LLC
  • Facility Address: 7580 CLARINGTON COVE
    SOUTHAVEN, MS
    ZIP 38671
  • Facility Phone: 615 620-9300
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KENNETH S. WEISS
  • NPI Number: 1174938344
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 25D2084461
LAB Type Ambulatory Surgery Center
Facility Name SPECIALTY SURGERY CENTER, LLC
Street 7580 CLARINGTON COVE
City SOUTHAVEN
State MS
ZIP 38671
Phone 615 620-9300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Ambulatory Surgery Center
Lab Director KENNETH S. WEISS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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