CLIA lab
CLIA 25D2112301: Vicksburg Holistic Healthcare, LLC
Vicksburg, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2112301 belongs to Vicksburg Holistic Healthcare, LLC in Vicksburg, MS.
Certificate of Waiver, effective April 26, 2026, expires April 25, 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 26, 2026
- Certificate expiration
- April 25, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 26, 2016
- Facility type
- Other practitioner
- 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
- 25D2112301
- Lab name
- Vicksburg Holistic Healthcare, LLC
- Address
- 919 Mission 66, Vicksburg, MS 39183
- Phone
- (601) 262-2922
- Fax
- (601) 262-2920
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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- Complete Care Rural Health ClinicCertificate of Waiver, Physician office25D1068392
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Related
Questions
What is the CLIA number for Vicksburg Holistic Healthcare, LLC in Vicksburg?
25D2112301, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Vicksburg Holistic Healthcare, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2112301 expire?
The CMS file lists April 25, 2028 as the certificate expiration date; the certificate took effect April 26, 2026.