CLIA lab

CLIA 25D1055920: G V Sonny Mongomery VA Clinic

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

CLIA number 25D1055920 belongs to G V Sonny Mongomery VA Clinic in Meridian, MS.

Certificate of Waiver, effective June 29, 2026, expires June 28, 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
June 29, 2026
Certificate expiration
June 28, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 29, 2006
Facility type
Physician office
Ownership (control type)
Proprietary
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
25D1055920
Lab name
G V Sonny Mongomery VA Clinic
Address
2103 13th Street, Meridian, MS 39301
Phone
(601) 482-3275
Fax
(601) 482-2852

Annual test volume the lab reported

Waived tests
2,500

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 G V Sonny Mongomery VA Clinic in Meridian?

25D1055920, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does G V Sonny Mongomery VA Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 25D1055920 expire?

The CMS file lists June 28, 2028 as the certificate expiration date; the certificate took effect June 29, 2026.

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