CLIA lab
CLIA 25D2111796: River City Medical and Arthritis Center LLC
Vicksburg, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2111796 belongs to River City Medical and Arthritis Center LLC in Vicksburg, MS.
Certificate of Waiver, effective April 15, 2026, expires April 14, 2028.
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 15, 2026
- Certificate expiration
- April 14, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 15, 2016
- 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
- 25D2111796
- Lab name
- River City Medical and Arthritis Center LLC
- Address
- 3510 Pemberton Square Blvd, Vicksburg, MS 39180
- Phone
- (601) 501-6991
- Fax
- (601) 501-6987
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.
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Related
Questions
What is the CLIA number for River City Medical and Arthritis Center LLC in Vicksburg?
25D2111796, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does River City Medical and Arthritis Center LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2111796 expire?
The CMS file lists April 14, 2028 as the certificate expiration date; the certificate took effect April 15, 2026.