25D2166199 CLIA NUMBER - TRI COUNTY EYE CLINIC

Laboratory Demographics

  • CLIA Code: 25D2166199
  • Facility Name: TRI COUNTY EYE CLINIC
  • Facility Address: 431 BERTUCCI BLVD
    BILOXI, MS
    ZIP 39531
  • Facility Phone: 228 385-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. GREGORY E. BERTUCCI
  • NPI Number: 1700859881
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 25D2166199
LAB Type Physician Office
Facility Name TRI COUNTY EYE CLINIC
Street 431 BERTUCCI BLVD
City BILOXI
State MS
ZIP 39531
Phone 228 385-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2025
Certificate Expiration Date 5/13/2027
Facility Type Physician Office
Lab Director DR. GREGORY E. BERTUCCI

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