25D2330265 CLIA NUMBER - K&R OPTICAL SOLUTION CORP

Laboratory Demographics

  • CLIA Code: 25D2330265
  • Facility Name: K&R OPTICAL SOLUTION CORP
  • Facility Address: 3304 8TH STREET
    MERIDIAN, MS
    ZIP 39301
  • Facility Phone: 601 207-5085
  • Facility Type: Other - OPTICAL SHOP
  • Facility Type: Waiver
  • Lab Director: SHANA THEDFORD
  • NPI Number: 1306478359
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 25D2330265
LAB Type Other - OPTICAL SHOP
Facility Name K&R OPTICAL SOLUTION CORP
Street 3304 8TH STREET
City MERIDIAN
State MS
ZIP 39301
Phone 601 207-5085
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2025
Certificate Expiration Date 9/11/2027
Facility Type Other - OPTICAL SHOP
Lab Director SHANA THEDFORD

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