CLIA lab

CLIA 25D1006389: Family Medical Clinic of North MS

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

CLIA number 25D1006389 belongs to Family Medical Clinic of North MS in Southaven, MS.

Certificate of Compliance, effective August 21, 2025, expires August 20, 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
August 21, 2025
Certificate expiration
August 20, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 15, 2002
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
4

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
25D1006389
Lab name
Family Medical Clinic of North MS
Address
3451 Goodman Rd Ste 115, Southaven, MS 38672
Phone
(662) 890-5555
Fax
(662) 890-8899

Annual test volume the lab reported

Waived tests
22,150
Other nonwaived tests
504,537
Total
526,687

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

Affiliated CLIA numbers

Other labs in Southaven, MS

Related

Questions

What is the CLIA number for Family Medical Clinic of North MS in Southaven?

25D1006389, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Family Medical Clinic of North MS hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 25D1006389 expire?

The CMS file lists August 20, 2027 as the certificate expiration date; the certificate took effect August 21, 2025.

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