CLIA lab
CLIA 25D0317513: S E Lackey Memorial Hospital
Forest, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D0317513 belongs to S E Lackey Memorial Hospital in Forest, MS.
Certificate of Compliance, effective December 2, 2024, expires December 1, 2026.
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
- December 2, 2024
- Certificate expiration
- December 1, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Hospital
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 25D0317513
- Lab name
- S E Lackey Memorial Hospital
- Address
- 330 N Broad St, Forest, MS 39074
- Phone
- (601) 469-4151
- Fax
- (601) 469-4159
Annual test volume the lab reported
- Waived tests
- 2,208
- Other nonwaived tests
- 330,226
- Total
- 332,434
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- S E Lackey Memorial HospitalCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Forest, MS
- 505 Women's HealthCertificate of Waiver, Community clinic25D2287912
- Bma ForestCertificate of Waiver, End stage renal disease dialysis facility25D0863765
- Center of HopeCertificate of Waiver, Community clinic25D2116042
- Community Health ClinicCertificate of Waiver, Physician office25D0317509
- Community Health ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office25D0317511
- Fast Pace Mississippi, PLLCCertificate of Waiver, Physician office25D2176195
- Forest Orthopedics and Pain Management ClinicCertificate of Waiver, Community clinic25D2286614
- Lackey Convalescent HomeCertificate of Waiver, Skilled nursing or nursing facility25D2206380
- Lackey Pediatric ClinicCertificate of Waiver, Physician office25D2048983
- Lackey Radiology at the MacCertificate of Waiver, Hospital25D2287944
Related
Questions
What is the CLIA number for S E Lackey Memorial Hospital in Forest?
25D0317513, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does S E Lackey Memorial Hospital hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 25D0317513 expire?
The CMS file lists December 1, 2026 as the certificate expiration date; the certificate took effect December 2, 2024.