CLIA lab
CLIA 25D0676664: Diversicare of Tylertown, LLC
Tylertown, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D0676664 belongs to Diversicare of Tylertown, LLC in Tylertown, MS.
Certificate of Waiver, effective September 1, 2026, expires August 31, 2028.
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
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 25, 1993
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Proprietary
- 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
- 25D0676664
- Lab name
- Diversicare of Tylertown, LLC
- Address
- 200 Medical Circle, Tylertown, MS 39667
- Phone
- (601) 876-2107
- Fax
- (601) 876-5990
Annual test volume the lab reported
- Waived tests
- 416
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Diversicare of TylertownCMS Care Compare ratings for the facility at the same street address
Other labs in Tylertown, MS
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- Blackwell's Family Medicine ClinicCertificate of Waiver, Other practitioner25D2184690
- Cma Family Medicine ClinicCertificate of Waiver, Physician office25D0975413
- 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
- Southern Remedy Family MedicineCertificate of Waiver, Other practitioner25D2294602
Related
Questions
What is the CLIA number for Diversicare of Tylertown, LLC in Tylertown?
25D0676664, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Diversicare of Tylertown, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D0676664 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.