25D2130745 CLIA NUMBER - VRF EYE SPECIALTY GROUP PLC

Laboratory Demographics

  • CLIA Code: 25D2130745
  • Facility Name: VRF EYE SPECIALTY GROUP PLC
  • Facility Address: 2350 MOUNT PLEASANT
    HERNANDO, MS
    ZIP 38632
  • Facility Phone: 662 429-4448
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RAYMOND C. SHACKELFORD
  • NPI Number: 1255954863
  • Taxonomy: 152W00000X - Optometrist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 25D2130745
LAB Type Physician Office
Facility Name VRF EYE SPECIALTY GROUP PLC
Street 2350 MOUNT PLEASANT
City HERNANDO
State MS
ZIP 38632
Phone 662 429-4448
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2025
Certificate Expiration Date 5/15/2027
Facility Type Physician Office
Lab Director DR. RAYMOND C. SHACKELFORD

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