CLIA lab

CLIA 25D1008722: Longtown Imaging

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

CLIA number 25D1008722 belongs to Longtown Imaging in Tupelo, MS.

Certificate of Waiver, effective May 7, 2025, expires May 6, 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 Waiver
Certificate effective
May 7, 2025
Certificate expiration
May 6, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 27, 2003
Facility type
Ancillary test site
Ownership (control type)
Private
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
25D1008722
Lab name
Longtown Imaging
Address
4381 South Eason Blvd 1st Floor Suite 103, Tupelo, MS 38801
Phone
(662) 377-4092
Fax
(662) 377-2528

Annual test volume the lab reported

Waived tests
1,500

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 Longtown Imaging in Tupelo?

25D1008722, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Longtown Imaging hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 25D1008722 expire?

The CMS file lists May 6, 2027 as the certificate expiration date; the certificate took effect May 7, 2025.

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