CLIA lab
CLIA 25D2026883: Medcentris Specialty Group of Vicksburg
Vicksburg, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2026883 belongs to Medcentris Specialty Group of Vicksburg in Vicksburg, MS.
Certificate of Waiver, effective April 9, 2025, expires April 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
- April 9, 2025
- Certificate expiration
- April 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 12, 2011
- 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
- 25D2026883
- Lab name
- Medcentris Specialty Group of Vicksburg
- Address
- 2080 S Frontage Rd Ste 109, Vicksburg, MS 39180
- Phone
- (601) 654-7070
- Fax
- (601) 636-6233
Annual test volume the lab reported
- Waived tests
- 30
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 Medcentris Specialty Group of Vicksburg in Vicksburg?
25D2026883, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Medcentris Specialty Group of Vicksburg hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2026883 expire?
The CMS file lists April 8, 2027 as the certificate expiration date; the certificate took effect April 9, 2025.