CLIA lab

CLIA 25D2175054: Total Pain Care of Vicksburg

Vicksburg, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 25D2175054 belongs to Total Pain Care of Vicksburg in Vicksburg, MS.

Certificate of Waiver, effective November 14, 2025, expires November 13, 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
November 14, 2025
Certificate expiration
November 13, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 14, 2019
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
25D2175054
Lab name
Total Pain Care of Vicksburg
Address
2080 S Frontage Rd, Suite 112, Vicksburg, MS 39180
Phone
(601) 883-6304
Fax
(919) 516-0096

Annual test volume the lab reported

Waived tests
480

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Vicksburg, MS

Related

Questions

What is the CLIA number for Total Pain Care of Vicksburg in Vicksburg?

25D2175054, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Total Pain Care of Vicksburg hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 25D2175054 expire?

The CMS file lists November 13, 2027 as the certificate expiration date; the certificate took effect November 14, 2025.

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