CLIA lab
CLIA 25D2119476: Southern Health Network City of Vicksburg Clinic
Vicksburg, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2119476 belongs to Southern Health Network City of Vicksburg Clinic in Vicksburg, MS.
Certificate of Waiver, effective September 27, 2026, expires September 26, 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
- September 27, 2026
- Certificate expiration
- September 26, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 27, 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
- 25D2119476
- Lab name
- Southern Health Network City of Vicksburg Clinic
- Address
- 1911 Mission 66 Ste C, Vicksburg, MS 39180
- Phone
- (601) 714-1404
- Fax
- (601) 714-1404
Annual test volume the lab reported
- Waived tests
- 1,560
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- 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 Southern Health Network City of Vicksburg Clinic in Vicksburg?
25D2119476, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southern Health Network City of Vicksburg Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2119476 expire?
The CMS file lists September 26, 2028 as the certificate expiration date; the certificate took effect September 27, 2026.