25D1080879 CLIA NUMBER - RCG MISSISSIPPI INC DBA RCG - BELZONI

Laboratory Demographics

  • CLIA Code: 25D1080879
  • Facility Name: RCG MISSISSIPPI INC DBA RCG - BELZONI
  • Facility Address: 16451 US HIGHWAY 49
    BELZONI, MS
    ZIP 39038
  • Facility Phone: 662 247-2255
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL PORTNER
  • NPI Number: 1700056538
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D1080879
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RCG MISSISSIPPI INC DBA RCG - BELZONI
Street 16451 US HIGHWAY 49
City BELZONI
State MS
ZIP 39038
Phone 662 247-2255
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. MICHAEL PORTNER

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