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25D2121649 CLIA NUMBER - SOUTHERN EYE SURGERY AND LASER CENTER LLC

Laboratory Demographics

CLIA Number: 25D2121649

Facility Name: SOUTHERN EYE SURGERY AND LASER CENTER LLC

Facility Address:
1923 W 10TH ST
LAUREL, MS
ZIP 39440
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Facility Phone Number: 601 264-3937

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver
NPI Number: 1235316266

Taxonomy: 207W00000X - Ophthalmology
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

CLIA Record

Field Name Field Value
CLIA Number 25D2121649
LAB Type Ambulatory Surgery Center
Facility Name SOUTHERN EYE SURGERY AND LASER CENTER LLC
Street 1923 W 10TH ST
City LAUREL
State MS
ZIP 39440
Phone 601 264-3937
CertificateType 4
CertificateEffectiveDate 11/10/2022
CertificateExpirationDate 11/9/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024