CLIA lab
CLIA 25D0958993: Internal Medicine Clinic
Clarksdale, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D0958993 belongs to Internal Medicine Clinic in Clarksdale, MS.
Certificate of Waiver, effective October 13, 2024, expiration date October 12, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- October 13, 2024
- Certificate expiration
- October 12, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 31, 1999
- 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
- 25D0958993
- Lab name
- Internal Medicine Clinic
- Address
- 1967 Hospital Drive, Clarksdale, MS 38614
- Phone
- (662) 624-5481
- Fax
- (662) 621-1499
Annual test volume the lab reported
- Waived tests
- 2,000
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 Internal Medicine Clinic in Clarksdale?
25D0958993, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Internal Medicine Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D0958993 expire?
The CMS file lists October 12, 2026 as the certificate expiration date; the certificate took effect October 13, 2024.