CLIA lab

CLIA 25D1068392: Complete Care Rural Health Clinic

Vicksburg, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 25D1068392 belongs to Complete Care Rural Health Clinic in Vicksburg, MS.

Certificate of Waiver, effective May 9, 2025, expires May 8, 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 of Waiver
Certificate effective
May 9, 2025
Certificate expiration
May 8, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 9, 2007
Facility type
Physician office
Ownership (control type)
Private
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
25D1068392
Lab name
Complete Care Rural Health Clinic
Address
1911 Mission 66 Ste B, Vicksburg, MS 39180
Phone
(601) 665-4162
Fax
(855) 830-3484

Annual test volume the lab reported

Waived tests
100

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Vicksburg, MS

Related

Questions

What is the CLIA number for Complete Care Rural Health Clinic in Vicksburg?

25D1068392, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Complete Care Rural Health Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 25D1068392 expire?

The CMS file lists May 8, 2027 as the certificate expiration date; the certificate took effect May 9, 2025.

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