CLIA lab

CLIA 25D0671416: Shubuta Medical Clinic

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

CLIA number 25D0671416 belongs to Shubuta Medical Clinic in Shubuta, MS.

Certificate for Provider-Performed Microscopy Procedures, effective August 31, 2025, expires August 30, 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 for Provider-Performed Microscopy Procedures
Certificate effective
August 31, 2025
Certificate expiration
August 30, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 29, 1993
Facility type
Federally qualified health center
Ownership (control type)
Other
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
25D0671416
Lab name
Shubuta Medical Clinic
Address
130 North High Street, Shubuta, MS 39360
Phone
(601) 687-1391
Fax
(601) 687-0051

Annual test volume the lab reported

Waived tests
75
Provider-performed microscopy tests
75
Total
150

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Related

Questions

What is the CLIA number for Shubuta Medical Clinic in Shubuta?

25D0671416, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Shubuta Medical Clinic hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 25D0671416 expire?

The CMS file lists August 30, 2027 as the certificate expiration date; the certificate took effect August 31, 2025.

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