CLIA lab
CLIA 25D0320087: Walthall Rural Health Clinic
Tylertown, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D0320087 belongs to Walthall Rural Health Clinic in Tylertown, MS.
Certificate of Waiver, effective July 6, 2025, expires July 5, 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
- July 6, 2025
- Certificate expiration
- July 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Rural health clinic
- Ownership (control type)
- Government, county
- 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
- 25D0320087
- Lab name
- Walthall Rural Health Clinic
- Address
- 200 Hospital Dr, Tylertown, MS 39667
- Phone
- (601) 876-6006
- Fax
- (601) 876-3603
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- Blackwell's Family Medicine ClinicCertificate of Waiver, Other practitioner25D2184690
- Cma Family Medicine ClinicCertificate of Waiver, Physician office25D0975413
- Diversicare of Tylertown, LLCCertificate of Waiver, Skilled nursing or nursing facility25D0676664
- Family Health Care Clinic Inc Lexie Head StartCertificate of Waiver, School or student health service25D2032509
- Family Health Care Clinic Inc ST Paul Head StartCertificate of Waiver, School or student health service25D2032507
- Family Health Care Clinic Inc TylertownCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center25D1082538
- L & L Diagnostics LLCCertificate of Waiver, Independent25D2329682
- Loving Hearts Homecare Services LLCCertificate of Waiver, Other25D2258275
- Mccomb Children's ClinicCertificate of Waiver, Physician office25D2176339
Related
Questions
What is the CLIA number for Walthall Rural Health Clinic in Tylertown?
25D0320087, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walthall Rural Health Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D0320087 expire?
The CMS file lists July 5, 2027 as the certificate expiration date; the certificate took effect July 6, 2025.