CLIA lab
CLIA 25D0651947: Jefferson Davis Community Hospital
Prentiss, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D0651947 belongs to Jefferson Davis Community Hospital in Prentiss, MS.
Certificate of Compliance, effective January 12, 2025, expires January 11, 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
- January 12, 2025
- Certificate expiration
- January 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Hospital
- 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
- 25D0651947
- Lab name
- Jefferson Davis Community Hospital
- Address
- 1102 Rose Street, Prentiss, MS 39474
- Phone
- (601) 792-1168
- Fax
- (601) 792-1245
Annual test volume the lab reported
- Waived tests
- 1,000
- Other nonwaived tests
- 93,443
- Total
- 94,443
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Jefferson Davis Community Hospital CahCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Prentiss, MS
- Family Health Care Clinic Inc - PrentissCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center25D1014745
- Family Health Care Clinic Inc-Prentiss Head StartCertificate of Waiver, School or student health service25D2032512
- Jefferson Davis County Extended CareCertificate of Waiver, Skilled nursing or nursing facility25D0910815
- Jefferson Davis Rural Health ClinicCertificate of Waiver, Rural health clinic25D1067906
- Nfinity Private Duty Home Health DBA NfinityCertificate of Waiver, Other25D2178164
- Prentiss Family Practice ClinicCertificate of Compliance, Physician office25D0662440
- Prentiss Primary Care PACertificate of Waiver, Physician office25D1007211
- Ware Family PracticeCertificate of Waiver, Physician office25D2261840
Related
Questions
What is the CLIA number for Jefferson Davis Community Hospital in Prentiss?
25D0651947, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jefferson Davis Community Hospital hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 25D0651947 expire?
The CMS file lists January 11, 2027 as the certificate expiration date; the certificate took effect January 12, 2025.