25D2210069 CLIA NUMBER - POPLARVILLE EYE CLINIC

Laboratory Demographics

  • CLIA Code: 25D2210069
  • Facility Name: POPLARVILLE EYE CLINIC
  • Facility Address: 1716 S MAIN ST
    POPLARVILLE, MS
    ZIP 39470
  • Facility Phone: 601 795-0137
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DR. BETHANY G. HARRINGTON
  • NPI Number: 1659546802
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 25D2210069
LAB Type Practitioner Other
Facility Name POPLARVILLE EYE CLINIC
Street 1716 S MAIN ST
City POPLARVILLE
State MS
ZIP 39470
Phone 601 795-0137
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2025
Certificate Expiration Date 1/18/2027
Facility Type Practitioner Other
Lab Director DR. BETHANY G. HARRINGTON

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