CLIA lab
CLIA 25D1007211: Prentiss Primary Care PA
Prentiss, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D1007211 belongs to Prentiss Primary Care PA in Prentiss, MS.
Certificate of Waiver, effective December 11, 2024, expires December 10, 2026.
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 Waiver
- Certificate effective
- December 11, 2024
- Certificate expiration
- December 10, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 11, 2002
- 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
- 25D1007211
- Lab name
- Prentiss Primary Care PA
- Address
- 1529 Columbia Avenue, Prentiss, MS 39474
- Phone
- (601) 792-3200
- Fax
- (601) 792-3299
Annual test volume the lab reported
- Waived tests
- 1,400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Prentiss, MS
- Family Health Care Clinic Inc - PrentissCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center25D1014745
- Family Health Care Clinic Inc-Prentiss Head StartCertificate of Waiver, School or student health service25D2032512
- Jefferson Davis Community HospitalCertificate of Compliance, Hospital25D0651947
- Jefferson Davis County Extended CareCertificate of Waiver, Skilled nursing or nursing facility25D0910815
- Jefferson Davis Rural Health ClinicCertificate of Waiver, Rural health clinic25D1067906
- Nfinity Private Duty Home Health DBA NfinityCertificate of Waiver, Other25D2178164
- Prentiss Family Practice ClinicCertificate of Compliance, Physician office25D0662440
- Ware Family PracticeCertificate of Waiver, Physician office25D2261840
Related
Questions
What is the CLIA number for Prentiss Primary Care PA in Prentiss?
25D1007211, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Prentiss Primary Care PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D1007211 expire?
The CMS file lists December 10, 2026 as the certificate expiration date; the certificate took effect December 11, 2024.