CLIA lab

CLIA 25D1040911: ST Dominic's Family Medicine - Madison

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

CLIA number 25D1040911 belongs to ST Dominic's Family Medicine - Madison in Madison, MS.

Certificate of Compliance, effective June 21, 2025, expires June 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
June 21, 2025
Certificate expiration
June 20, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 20, 2005
Facility type
Physician office
Ownership (control type)
Religious affiliation
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
25D1040911
Lab name
ST Dominic's Family Medicine - Madison
Address
106 Highland Way Ste 103, Madison, MS 39110
Phone
(601) 200-4750

Annual test volume the lab reported

Waived tests
7,867
Other nonwaived tests
6,840
Total
14,707

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

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Questions

What is the CLIA number for ST Dominic's Family Medicine - Madison in Madison?

25D1040911, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does ST Dominic's Family Medicine - Madison hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 25D1040911 expire?

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

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