CLIA lab
CLIA 25D0960734: Street Clinic
Vicksburg, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D0960734 belongs to Street Clinic in Vicksburg, MS.
Certificate for Provider-Performed Microscopy Procedures, effective May 19, 2025, expires May 18, 2027.
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 for Provider-Performed Microscopy Procedures
- Certificate effective
- May 19, 2025
- Certificate expiration
- May 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 19, 1999
- Facility type
- Physician office
- 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
- 25D0960734
- Lab name
- Street Clinic
- Address
- 2200 Highway 61 North, Vicksburg, MS 39183
- Phone
- (601) 883-5940
- Fax
- (601) 883-7664
Annual test volume the lab reported
- Waived tests
- 200
- Provider-performed microscopy tests
- 500
- Total
- 700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Street Clinic in Vicksburg?
25D0960734, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Street Clinic hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 25D0960734 expire?
The CMS file lists May 18, 2027 as the certificate expiration date; the certificate took effect May 19, 2025.