CLIA lab
CLIA 25D0957040: Ellisville Medical/Obgyn Clinic Lab
Ellisville, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D0957040 belongs to Ellisville Medical/Obgyn Clinic Lab in Ellisville, MS.
Certificate of Compliance, effective October 21, 2024, expiration date October 20, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Compliance
- Certificate effective
- October 21, 2024
- Certificate expiration
- October 20, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 10, 1999
- Facility type
- Other
- Ownership (control type)
- Government, county
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 25D0957040
- Lab name
- Ellisville Medical/Obgyn Clinic Lab
- Address
- 1203 B Avenue, Ellisville, MS 39437
- Phone
- (601) 477-2226
- Fax
- (601) 477-9158
Annual test volume the lab reported
- Waived tests
- 14,015
- Other nonwaived tests
- 84,855
- Total
- 98,870
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Ellisville, MS
- Ellisville Family Clinic LaboratoryCertificate of Compliance, Physician office25D0977574
- Ellisville Pediatric ClinicCertificate of Waiver, Rural health clinic25D2070626
- Ellisville State SchoolCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities25D0030098
- Fast Pace Mississippi, PLLCCertificate of Waiver, Physician office25D2158625
- Interventional Spine & Sports InstituteCertificate of Waiver, Physician office25D2103440
- Jfmc Ellisville LLCCertificate of Waiver, Physician office25D2053253
- Jones County Detention CenterCertificate of Waiver, Prison25D2284642
- Jones County Junior College Health ServicesCertificate of Waiver, School or student health service25D2020826
- Jones County Rest HomeCertificate of Waiver, Skilled nursing or nursing facility25D0651933
- Magnolia Gardens Assisted Living of EllisvilleCertificate of Waiver, Assisted living facility25D2228978
Related
Questions
What is the CLIA number for Ellisville Medical/Obgyn Clinic Lab in Ellisville?
25D0957040, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ellisville Medical/Obgyn Clinic Lab hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 25D0957040 expire?
The CMS file lists October 20, 2026 as the certificate expiration date; the certificate took effect October 21, 2024.