CLIA lab
CLIA 25D0316773: Bolivar Phys Pract DBA Cleveland Medical Clinic
Cleveland, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D0316773 belongs to Bolivar Phys Pract DBA Cleveland Medical Clinic in Cleveland, MS.
Certificate of Compliance, effective May 16, 2025, expires May 15, 2027.
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 Compliance
- Certificate effective
- May 16, 2025
- Certificate expiration
- May 15, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 25D0316773
- Lab name
- Bolivar Phys Pract DBA Cleveland Medical Clinic
- Address
- 810 East Sunflower Road Ste 100-A, Cleveland, MS 38732
- Phone
- (662) 843-3606
- Fax
- (662) 579-0167
Annual test volume the lab reported
- Waived tests
- 17,167
- Other nonwaived tests
- 215,538
- Total
- 232,705
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Cleveland, MS
- Adoration HospiceCertificate of Waiver, Hospice25D2202360
- Bolivar Medical Center - Radiology DepartmentCertificate of Waiver, Hospital25D2292788
- Bolivar Medical Center Long Term CareCertificate of Waiver, Skilled nursing or nursing facility25D2193416
- Bolivar Physician's PracticesCertificate of Compliance, Physician office25D0949390
- Cleveland Children's Clinic, PLLCCertificate of Waiver, Physician office25D2111970
- Cleveland Community Care CenterCertificate of Waiver, Skilled nursing or nursing facility25D0672186
- Cleveland School DistrictCertificate of Waiver, School or student health service25D2121442
- D & F Medical Consulting LLC DBA Dynamic WellnessCertificate of Waiver, Physician office25D2177887
- Delta Rehabilitation and Healthcare CenterCertificate of Waiver, Skilled nursing or nursing facility25D0890847
- East End Family Medical ClinicCertificate of Waiver, Other practitioner25D2161758
Related
Questions
What is the CLIA number for Bolivar Phys Pract DBA Cleveland Medical Clinic in Cleveland?
25D0316773, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bolivar Phys Pract DBA Cleveland Medical Clinic hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 25D0316773 expire?
The CMS file lists May 15, 2027 as the certificate expiration date; the certificate took effect May 16, 2025.