CLIA lab
CLIA 25D0977574: Ellisville Family Clinic Laboratory
Ellisville, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D0977574 belongs to Ellisville Family Clinic Laboratory in Ellisville, MS.
Certificate of Compliance, effective February 19, 2025, expires February 18, 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 Compliance
- Certificate effective
- February 19, 2025
- Certificate expiration
- February 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 29, 2000
- 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
- 25D0977574
- Lab name
- Ellisville Family Clinic Laboratory
- Address
- 822 Main Street, Ellisville, MS 39437
- Phone
- (601) 477-2014
- Fax
- (601) 477-9942
Annual test volume the lab reported
- Waived tests
- 2,500
- Other nonwaived tests
- 3,422
- Total
- 5,922
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Ellisville, MS
- Ellisville Medical/Obgyn Clinic LabCertificate of Compliance, Other25D0957040
- 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 Family Clinic Laboratory in Ellisville?
25D0977574, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ellisville Family Clinic Laboratory hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 25D0977574 expire?
The CMS file lists February 18, 2027 as the certificate expiration date; the certificate took effect February 19, 2025.