CLIA lab

CLIA 25D0317025: Booneville Family Practice Clinic

Booneville, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 25D0317025 belongs to Booneville Family Practice Clinic in Booneville, MS.

Certificate of Waiver, effective March 14, 2025, expires March 13, 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 Waiver
Certificate effective
March 14, 2025
Certificate expiration
March 13, 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
25D0317025
Lab name
Booneville Family Practice Clinic
Address
517 E Church Street, Booneville, MS 38829
Phone
(662) 728-8136
Fax
(662) 728-6353

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Related

Questions

What is the CLIA number for Booneville Family Practice Clinic in Booneville?

25D0317025, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Booneville Family Practice Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 25D0317025 expire?

The CMS file lists March 13, 2027 as the certificate expiration date; the certificate took effect March 14, 2025.

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