CLIA lab
CLIA 25D0910815: Jefferson Davis County Extended Care
Prentiss, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D0910815 belongs to Jefferson Davis County Extended Care in Prentiss, MS.
Certificate of Waiver, effective January 22, 2026, expires January 21, 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
- January 22, 2026
- Certificate expiration
- January 21, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 22, 1996
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Government, county
- 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
- 25D0910815
- Lab name
- Jefferson Davis County Extended Care
- Address
- 1102 Rose Street, Prentiss, MS 39474
- Phone
- (601) 792-4276
Annual test volume the lab reported
- Waived tests
- 850
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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 Community HospitalCertificate of Compliance, Hospital25D0651947
- 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 County Extended Care in Prentiss?
25D0910815, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jefferson Davis County Extended Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D0910815 expire?
The CMS file lists January 21, 2028 as the certificate expiration date; the certificate took effect January 22, 2026.