25D0885969 CLIA NUMBER - RCG MISSISSIPPI INC

Laboratory Demographics

  • CLIA Code: 25D0885969
  • Facility Name: RCG MISSISSIPPI INC
  • Facility Address: 627 HWY 82 WEST
    INDIANOLA, MS
    ZIP 38751
  • Facility Phone: 662 887-5155
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. ALLISON WHITE
  • NPI Number: 1568574390
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D0885969
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RCG MISSISSIPPI INC
Street 627 HWY 82 WEST
City INDIANOLA
State MS
ZIP 38751
Phone 662 887-5155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2024
Certificate Expiration Date 5/9/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. ALLISON WHITE

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