CLIA lab
CLIA 25D0030098: Ellisville State School
Ellisville, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D0030098 belongs to Ellisville State School in Ellisville, MS.
Certificate of Waiver, effective May 7, 2026, expires May 6, 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
- May 7, 2026
- Certificate expiration
- May 6, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- Ownership (control type)
- Government, state
- 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
- 25D0030098
- Lab name
- Ellisville State School
- Address
- 1101 Highway 11 South, Ellisville, MS 39437
- Phone
- (601) 477-9384
- Fax
- (601) 477-5895
Other labs in Ellisville, MS
- Ellisville Family Clinic LaboratoryCertificate of Compliance, Physician office25D0977574
- Ellisville Medical/Obgyn Clinic LabCertificate of Compliance, Other25D0957040
- Ellisville Pediatric ClinicCertificate of Waiver, Rural health clinic25D2070626
- Fast Pace Mississippi, PLLCCertificate of Waiver, Physician office25D2158625
- Interventional Spine & Sports InstituteCertificate of Waiver, Physician office25D2103440
- Jfmc Ellisville LLCCertificate of Waiver, Physician office25D2053253
- Jones County Detention CenterCertificate of Waiver, Prison25D2284642
- Jones County Junior College Health ServicesCertificate of Waiver, School or student health service25D2020826
- Jones County Rest HomeCertificate of Waiver, Skilled nursing or nursing facility25D0651933
- Magnolia Gardens Assisted Living of EllisvilleCertificate of Waiver, Assisted living facility25D2228978
Related
Questions
What is the CLIA number for Ellisville State School in Ellisville?
25D0030098, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ellisville State School hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D0030098 expire?
The CMS file lists May 6, 2028 as the certificate expiration date; the certificate took effect May 7, 2026.