CLIA lab
CLIA 25D1059531: Family Med 101
Booneville, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D1059531 belongs to Family Med 101 in Booneville, MS.
Certificate of Waiver, effective May 13, 2025, expires May 12, 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
- May 13, 2025
- Certificate expiration
- May 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 2, 2006
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 25D1059531
- Lab name
- Family Med 101
- Address
- 101 Mimosa Street, Booneville, MS 38829
- Phone
- (662) 720-4919
- Fax
- (662) 720-4980
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Booneville, MS
- Baptist Memorial Hospital BoonevilleCertificate of Accreditation, Hospital25D0651792
- Baptist Memorial Medical Group, Inc - NemimCertificate of Accreditation, Physician office25D2062576
- Baptist Memorial Medical Group-BimCertificate of Waiver, Physician office25D0724604
- Booneville Family Practice ClinicCertificate of Waiver, Physician office25D0317025
- Caterpillar-PrentissCertificate of Waiver, Other25D2061399
- Cox-Blythe Healthcare GRPCertificate of Waiver, Pharmacy25D2182248
- Express Care of Booneville, LLCCertificate of Compliance, Physician office25D2264621
- Faith Family Clinic of Booneville, LLCCertificate of Compliance, Physician office25D1058512
- Family First Medical Clinic, LLCCertificate of Waiver, Other practitioner25D2058279
- Gilbert's Hospice Care LLC DBA GentivaCertificate of Waiver, Hospice25D1026345
Related
Questions
What is the CLIA number for Family Med 101 in Booneville?
25D1059531, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Family Med 101 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D1059531 expire?
The CMS file lists May 12, 2027 as the certificate expiration date; the certificate took effect May 13, 2025.