CLIA lab
CLIA 25D2050520: Southerncare, Inc
Vicksburg, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2050520 belongs to Southerncare, Inc in Vicksburg, MS.
Certificate of Waiver, effective November 30, 2024, expires November 29, 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 30, 2024
- Certificate expiration
- November 29, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 30, 2012
- Facility type
- Hospice
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 25D2050520
- Lab name
- Southerncare, Inc
- Address
- 1990 S Frontage Rd Ste I, Vicksburg, MS 39180
- Phone
- (601) 629-9673
- Fax
- (601) 661-8465
Annual test volume the lab reported
- Waived tests
- 10
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- GentivaCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Vicksburg, MS
- Amedisys Mississippi LLC DBACertificate of Waiver, Home health agency25D0708937
- 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 Southerncare, Inc in Vicksburg?
25D2050520, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southerncare, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2050520 expire?
The CMS file lists November 29, 2026 as the certificate expiration date; the certificate took effect November 30, 2024.