25D2327124 CLIA NUMBER - MERIDIAN ORTHOPAEDIC SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 25D2327124
  • Facility Name: MERIDIAN ORTHOPAEDIC SURGERY CENTER, LLC
  • Facility Address: 5002 HWY 39 N, BLDG D
    MERIDIAN, MS
    ZIP 39301
  • Facility Phone: 601 481-7070
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RUSH N. LANE
  • NPI Number: 1962682468
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 25D2327124
LAB Type Ambulatory Surgery Center
Facility Name MERIDIAN ORTHOPAEDIC SURGERY CENTER, LLC
Street 5002 HWY 39 N, BLDG D
City MERIDIAN
State MS
ZIP 39301
Phone 601 481-7070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2025
Certificate Expiration Date 7/15/2027
Facility Type Ambulatory Surgery Center
Lab Director RUSH N. LANE

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