25D2125384 CLIA NUMBER - ADVANCED VISION CENTER

Laboratory Demographics

  • CLIA Code: 25D2125384
  • Facility Name: ADVANCED VISION CENTER
  • Facility Address: 1431 W 10TH ST
    LAUREL, MS
    ZIP 39440
  • Facility Phone: 601 649-2450
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BETHANY WARREN
  • NPI Number: 1538341839
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 25D2125384
LAB Type Physician Office
Facility Name ADVANCED VISION CENTER
Street 1431 W 10TH ST
City LAUREL
State MS
ZIP 39440
Phone 601 649-2450
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Physician Office
Lab Director BETHANY WARREN

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