25D2135815 CLIA NUMBER - LAUDERDALE COUNTY DIALYSIS

Laboratory Demographics

  • CLIA Code: 25D2135815
  • Facility Name: LAUDERDALE COUNTY DIALYSIS
  • Facility Address: 1300 38TH AVE E
    MERIDIAN, MS
    ZIP 39301
  • Facility Phone: 601 482-4808
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT CLARK
  • NPI Number: 1932636495
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 25D2135815
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LAUDERDALE COUNTY DIALYSIS
Street 1300 38TH AVE E
City MERIDIAN
State MS
ZIP 39301
Phone 601 482-4808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2025
Certificate Expiration Date 8/28/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. ROBERT CLARK

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