25D2112704 CLIA NUMBER - CAPITAL EYES INC DBA SOUTHERN EYE CARE OF CLINTON

Laboratory Demographics

  • CLIA Code: 25D2112704
  • Facility Name: CAPITAL EYES INC DBA SOUTHERN EYE CARE OF CLINTON
  • Facility Address: 929 HWY 80E
    CLINTON, MS
    ZIP 39056
  • Facility Phone: 601 924-7274
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSH C. MASSEY
  • NPI Number: 1336427822
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 25D2112704
LAB Type Physician Office
Facility Name CAPITAL EYES INC DBA SOUTHERN EYE CARE OF CLINTON
Street 929 HWY 80E
City CLINTON
State MS
ZIP 39056
Phone 601 924-7274
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2024
Certificate Expiration Date 5/4/2026
Facility Type Physician Office
Lab Director JOSH C. MASSEY

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