CLIA lab
CLIA 25D1033990: Vicksburg Clinic LLC DBA River Region Health Syste
Vicksburg, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D1033990 belongs to Vicksburg Clinic LLC DBA River Region Health Syste in Vicksburg, MS.
Certificate of Waiver, effective November 22, 2024, expires November 21, 2026.
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
- November 22, 2024
- Certificate expiration
- November 21, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 22, 2004
- 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
- 25D1033990
- Lab name
- Vicksburg Clinic LLC DBA River Region Health Syste
- Address
- 2100 Hwy 61 North, Vicksburg, MS 39183
- Phone
- (601) 883-6001
- Fax
- (601) 883-6109
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Biometric Solutions LLCCertificate of Waiver, Independent25D2306626
- Bluffs Rehabilitation and Healthcare Center, theCertificate of Waiver, Skilled nursing or nursing facility25D0708259
- 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 Clinic LLC DBA River Region Health Syste in Vicksburg?
25D1033990, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Vicksburg Clinic LLC DBA River Region Health Syste hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D1033990 expire?
The CMS file lists November 21, 2026 as the certificate expiration date; the certificate took effect November 22, 2024.