CLIA lab
CLIA 25D1047450: Jhchc Bolton-Edwards School Based Clinic
Bolton, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D1047450 belongs to Jhchc Bolton-Edwards School Based Clinic in Bolton, MS.
Certificate for Provider-Performed Microscopy Procedures, effective November 7, 2025, expires November 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- November 7, 2025
- Certificate expiration
- November 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 7, 2005
- Facility type
- School or student health service
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 25D1047450
- Lab name
- Jhchc Bolton-Edwards School Based Clinic
- Additional name
- Bolton-Edwards Elementary School
- Address
- 9700 I-20, Bolton, MS 39041
- Phone
- (601) 866-2522
- Fax
- (601) 364-5159
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Related
Questions
What is the CLIA number for Jhchc Bolton-Edwards School Based Clinic in Bolton?
25D1047450, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jhchc Bolton-Edwards School Based Clinic hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 25D1047450 expire?
The CMS file lists November 6, 2027 as the certificate expiration date; the certificate took effect November 7, 2025.