CLIA lab
CLIA 25D0317542: Premier Kosciusko Medical Clinic
Kosciusko, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D0317542 belongs to Premier Kosciusko Medical Clinic in Kosciusko, MS.
Certificate of Compliance, effective February 1, 2025, expires January 31, 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
- February 1, 2025
- Certificate expiration
- January 31, 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
- 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
- 25D0317542
- Lab name
- Premier Kosciusko Medical Clinic
- Address
- 332 Highway 12 West, Kosciusko, MS 39090
- Phone
- (662) 289-1800
- Fax
- (601) 289-2486
Annual test volume the lab reported
- Waived tests
- 19,656
- Other nonwaived tests
- 303,113
- Total
- 322,769
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Kosciusko, MS
- Amaris Medical GroupCertificate for Provider-Performed Microscopy Procedures, Other practitioner25D2209251
- Attala Comm Care Ctr/County Nursing CTCertificate of Waiver, Skilled nursing or nursing facility25D0928819
- Baptist Medical Center - AttalaCertificate of Compliance, Hospital25D0029755
- Baptist Medical Clinic KosciuskoCertificate of Waiver, Physician office25D2104929
- Biomedical Applications of Mississippi Inc DBA BmaCertificate of Waiver, End stage renal disease dialysis facility25D0902269
- Crescent City Surgical Centre Diagnostics, LLCCertificate of Registration, Independent25D2346670
- Fast Pace Mississippi, PLLCCertificate of Waiver, Physician office25D2149252
- Kosciusko VA Primary Care CenterCertificate of Waiver, Community clinic25D2071075
- Millcreek of KosciuskoCertificate of Waiver, Other25D2122435
- Premier Medical Group of MS DBA Trace UrgentCertificate of Compliance, Physician office25D0966298
Related
Questions
What is the CLIA number for Premier Kosciusko Medical Clinic in Kosciusko?
25D0317542, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premier Kosciusko Medical Clinic hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 25D0317542 expire?
The CMS file lists January 31, 2027 as the certificate expiration date; the certificate took effect February 1, 2025.