CLIA lab

CLIA 25D0931904: Pinnacle Medical Clinic

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

CLIA number 25D0931904 belongs to Pinnacle Medical Clinic in Summit, MS.

Certificate of Waiver, effective January 6, 2026, expires January 5, 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 6, 2026
Certificate expiration
January 5, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 7, 1997
Facility type
Physician office
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
25D0931904
Lab name
Pinnacle Medical Clinic
Address
7900 Hwy 570W, Summit, MS 39666
Phone
(601) 684-7771
Fax
(601) 465-0554

Annual test volume the lab reported

Waived tests
1,750

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

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Related

Questions

What is the CLIA number for Pinnacle Medical Clinic in Summit?

25D0931904, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pinnacle Medical Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 25D0931904 expire?

The CMS file lists January 5, 2028 as the certificate expiration date; the certificate took effect January 6, 2026.

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