CLIA lab

CLIA 25D2190002: Estate at River Bend, the

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

CLIA number 25D2190002 belongs to Estate at River Bend, the in Lucedale, MS.

Certificate of Waiver, effective August 7, 2026, expires August 6, 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
August 7, 2026
Certificate expiration
August 6, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 7, 2020
Facility type
Other
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
25D2190002
Lab name
Estate at River Bend, the
Address
226 Lowe Lane, Lucedale, MS 39452
Phone
(601) 791-5135
Fax
(601) 791-5140

Annual test volume the lab reported

Waived tests
1,500

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

Other labs in Lucedale, MS

Related

Questions

What is the CLIA number for Estate at River Bend, the in Lucedale?

25D2190002, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Estate at River Bend, the hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 25D2190002 expire?

The CMS file lists August 6, 2028 as the certificate expiration date; the certificate took effect August 7, 2026.

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