25D0693229 CLIA NUMBER - RCG MISSISSIPPI

Laboratory Demographics

  • CLIA Code: 25D0693229
  • Facility Name: RCG MISSISSIPPI
  • Facility Address: 1404 WHITE STREET
    MCCOMB, MS
    ZIP 39648
  • Facility Phone: 601 684-6380
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. PAUL G. DYKES
  • NPI Number: 1023120870
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 25D0693229
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RCG MISSISSIPPI
Street 1404 WHITE STREET
City MCCOMB
State MS
ZIP 39648
Phone 601 684-6380
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2025
Certificate Expiration Date 3/18/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. PAUL G. DYKES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025