25D2161670 CLIA NUMBER - ADVANCED EYECARE, LLC

Laboratory Demographics

  • CLIA Code: 25D2161670
  • Facility Name: ADVANCED EYECARE, LLC
  • Facility Address: 5 ALEX PLACE
    PICAYUNE, MS
    ZIP 39466
  • Facility Phone: 601 799-0707
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KRAIG M. STASNEY
  • NPI Number: 1104045665
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 25D2161670
LAB Type Practitioner Other
Facility Name ADVANCED EYECARE, LLC
Street 5 ALEX PLACE
City PICAYUNE
State MS
ZIP 39466
Phone 601 799-0707
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 Practitioner Other
Lab Director KRAIG M. STASNEY

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