CLIA lab
CLIA 25D1043490: Mississippi Adolescent Center
Brookhaven, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D1043490 belongs to Mississippi Adolescent Center in Brookhaven, MS.
Certificate of Waiver, effective July 26, 2025, expires July 25, 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
- July 26, 2025
- Certificate expiration
- July 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 26, 2005
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- Ownership (control type)
- Government, state
- 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
- 25D1043490
- Lab name
- Mississippi Adolescent Center
- Address
- 760 Brookman Drive, Brookhaven, MS 39601
- Phone
- (601) 823-5700
- Fax
- (601) 823-5769
Annual test volume the lab reported
- Waived tests
- 75
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Brookhaven Ear Nose Throat PACertificate of Waiver, Physician office25D1076717
- Brookhaven Health and WellnessCertificate of Waiver, Other practitioner25D2081937
- Brookhaven Health and Wellness Urgent CareCertificate of Waiver, Physician office25D2118719
- Brookhaven Internal Medicine PACertificate of Waiver, Physician office25D0878508
- Brookhaven UrologyCertificate of Compliance, Physician office25D0319979
Related
Questions
What is the CLIA number for Mississippi Adolescent Center in Brookhaven?
25D1043490, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mississippi Adolescent Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D1043490 expire?
The CMS file lists July 25, 2027 as the certificate expiration date; the certificate took effect July 26, 2025.