CLIA lab
CLIA 25D0995919: Willow Creek Retirement Center
Byram, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D0995919 belongs to Willow Creek Retirement Center in Byram, MS.
Certificate of Waiver, effective February 5, 2026, expires February 4, 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
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 Waiver
- Certificate effective
- February 5, 2026
- Certificate expiration
- February 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 5, 2002
- Facility type
- Skilled nursing or nursing facility
- 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
- 25D0995919
- Lab name
- Willow Creek Retirement Center
- Address
- 49 Willow Creek Lane, Byram, MS 39272
- Phone
- (601) 863-4201
- Fax
- (601) 863-4202
Annual test volume the lab reported
- Waived tests
- 120
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Willow Creek Retirement CenterCMS Care Compare ratings for the facility at the same street address
Other labs in Byram, MS
- Baptist Medical Group - Byram Primary CareCertificate of Compliance, Physician office25D0913024
- Edgewood Health and RehabCertificate of Waiver, Skilled nursing or nursing facility25D0680800
- Gary Road Elementary SchoolCertificate of Waiver, School or student health service25D1069211
- Gary Road Intermediate SchoolCertificate of Waiver, School or student health service25D2108609
- Kroger Pharmacy #490Certificate of Waiver, Pharmacy25D1038556
- Mea Medical Clinic ByramCertificate of Compliance, Physician office25D0925214
- Mississippi Primary Care, LLCCertificate of Waiver, Other practitioner25D2334577
- Pediatrics Plus, LLCCertificate of Waiver, Other practitioner25D2305720
- Polk's Discount Drugs #6Certificate of Waiver, Pharmacy25D2182858
- Serenity Weight Loss and Wellness ClinicCertificate of Waiver, Community clinic25D2349355
Related
Questions
What is the CLIA number for Willow Creek Retirement Center in Byram?
25D0995919, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Willow Creek Retirement Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D0995919 expire?
The CMS file lists February 4, 2028 as the certificate expiration date; the certificate took effect February 5, 2026.