CLIA lab
CLIA 25D0891575: Delta Manor
Clarksdale, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D0891575 belongs to Delta Manor in Clarksdale, MS.
Certificate of Waiver, effective March 16, 2025, expires March 15, 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
- March 16, 2025
- Certificate expiration
- March 15, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 12, 1994
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- 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
- 25D0891575
- Lab name
- Delta Manor
- Address
- 701 Hwy 322 W, Clarksdale, MS 38614
- Phone
- (662) 627-2212
- Fax
- (662) 627-1727
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Aaron E Henry Coahoma County School BaseCertificate of Waiver, School or student health service25D2125436
- Aaron E Henry Health CenterCertificate for Provider-Performed Microscopy Procedures, Community clinic25D0718770
- Aaron E Henry Medical Mobile UnitCertificate of Waiver, Mobile lab25D2047937
- Aaron Henry Comm HTH CTR Mobile Medical UnitCertificate of Waiver, Mobile lab25D0992841
- Ayers Martin Enterprises DBA Midsouth PathologyCertificate of Accreditation, Hospital25D0959220
- Byrd Family Medical ClinicCertificate of Compliance, Other practitioner25D2147200
- Children's Clinic, theCertificate of Waiver, Federally qualified health center25D0678162
- Clarksdale Family Medical CenterCertificate of Waiver, Physician office25D2281590
- Clarksdale Nursing CenterCertificate of Waiver, Skilled nursing or nursing facility25D0316404
Related
Questions
What is the CLIA number for Delta Manor in Clarksdale?
25D0891575, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Delta Manor hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D0891575 expire?
The CMS file lists March 15, 2027 as the certificate expiration date; the certificate took effect March 16, 2025.