CLIA lab
CLIA 25D0691320: Vicksburg Convalescent LLC
Vicksburg, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D0691320 belongs to Vicksburg Convalescent LLC in Vicksburg, MS.
Certificate of Waiver, effective September 1, 2026, expires August 31, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 29, 1992
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 25D0691320
- Lab name
- Vicksburg Convalescent LLC
- Additional name
- DBA Vicksburg Convalescent Center
- Address
- 1708 Cherry St, Vicksburg, MS 39180
- Phone
- (601) 638-3632
Annual test volume the lab reported
- Waived tests
- 2,076
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Vicksburg Convalescent CenterCMS Care Compare ratings for the facility at the same street address
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- Caring Hands Ppec of VicksburgCertificate of Waiver, Other25D2111535
- Center for Pregnancy ChoicesCertificate of Waiver, Community clinic25D2026952
- Complete Care Rural Health ClinicCertificate of Waiver, Physician office25D1068392
- Empower Childrens Clinic-VicksburgCertificate of Waiver, Physician office25D2299095
- Fast Pace Mississippi, PLLCCertificate of Waiver, Physician office25D2191040
- Fresenius Medical Care Vicksburg Home LLCCertificate of Waiver, End stage renal disease dialysis facility25D2226035
- Gi Associates EndoscopyCertificate of Waiver, Ambulatory surgery center25D1055997
Related
Questions
What is the CLIA number for Vicksburg Convalescent LLC in Vicksburg?
25D0691320, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Vicksburg Convalescent LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D0691320 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.