25D0992838 CLIA NUMBER - RCG TUNICA

Laboratory Demographics

  • CLIA Code: 25D0992838
  • Facility Name: RCG TUNICA
  • Facility Address: 1821 US HIGHWAY 61 NORTH
    TUNICA, MS
    ZIP 38676
  • Facility Phone: 662 363-2620
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JULIO RUIZ
  • NPI Number: 1073625760
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D0992838
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RCG TUNICA
Street 1821 US HIGHWAY 61 NORTH
City TUNICA
State MS
ZIP 38676
Phone 662 363-2620
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JULIO RUIZ

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