CLIA lab

CLIA 25D2176486: Vanderloo Family Medicine, PLLC

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

CLIA number 25D2176486 belongs to Vanderloo Family Medicine, PLLC in Madison, MS.

Certificate of Waiver, effective December 16, 2025, expires December 15, 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
December 16, 2025
Certificate expiration
December 15, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 16, 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
25D2176486
Lab name
Vanderloo Family Medicine, PLLC
Address
742 Magnolia Street, Ste A, Madison, MS 39110
Phone
(601) 228-5491
Fax
(601) 429-9297

Annual test volume the lab reported

Waived tests
500

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 Vanderloo Family Medicine, PLLC in Madison?

25D2176486, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Vanderloo Family Medicine, PLLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 25D2176486 expire?

The CMS file lists December 15, 2027 as the certificate expiration date; the certificate took effect December 16, 2025.

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