CLIA lab
CLIA 25D1054130: Marietta Family Clinic Inc
Marietta, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D1054130 belongs to Marietta Family Clinic Inc in Marietta, MS.
Certificate of Waiver, effective May 12, 2026, expires May 11, 2028.
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 12, 2026
- Certificate expiration
- May 11, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 12, 2006
- Facility type
- Other practitioner
- Ownership (control type)
- Unknown
- 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
- 25D1054130
- Lab name
- Marietta Family Clinic Inc
- Address
- 3 CR 4050, Marietta, MS 38856
- Phone
- (662) 728-2408
- Fax
- (662) 728-2409
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Marietta Family Clinic Inc in Marietta?
25D1054130, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Marietta Family Clinic Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D1054130 expire?
The CMS file lists May 11, 2028 as the certificate expiration date; the certificate took effect May 12, 2026.