CLIA lab

CLIA 25D2342554: Southern Vascular and Pain Management

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

CLIA number 25D2342554 belongs to Southern Vascular and Pain Management in Olive Branch, MS.

Certificate of Waiver, effective April 21, 2026, expires April 20, 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 21, 2026
Certificate expiration
April 20, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 21, 2026
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
25D2342554
Lab name
Southern Vascular and Pain Management
Address
8990 Germantown Rd, Ste B, Olive Branch, MS 38654
Phone
(901) 350-0678
Fax
(901) 350-0677

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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Related

Questions

What is the CLIA number for Southern Vascular and Pain Management in Olive Branch?

25D2342554, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Southern Vascular and Pain Management hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 25D2342554 expire?

The CMS file lists April 20, 2028 as the certificate expiration date; the certificate took effect April 21, 2026.

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