CLIA lab
CLIA 25D1062983: ST Dominic Hospital Satellite Lab Madison Imaging
Madison, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D1062983 belongs to ST Dominic Hospital Satellite Lab Madison Imaging in Madison, MS.
Certificate of Waiver, effective August 19, 2025, expires August 18, 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
- August 19, 2025
- Certificate expiration
- August 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 3, 2007
- Facility type
- Other
- Ownership (control type)
- Religious affiliation
- 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
- 25D1062983
- Lab name
- ST Dominic Hospital Satellite Lab Madison Imaging
- Address
- 106 Highland Way Ste 100, Madison, MS 39110
- Phone
- (601) 200-8410
- Fax
- (601) 856-8408
Annual test volume the lab reported
- Waived tests
- 2,600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Madison, MS
- BW Medical DBA MS Express HealthCertificate of Waiver, Physician office25D2299097
- Baptist Heart Clinic-MadisonCertificate of Waiver, Physician office25D2210055
- Baptist Medical Group - Gluckstadt Primary CareCertificate of Compliance, Physician office25D2168032
- Baptist Medical Group - Madison Main ST Prim CareCertificate of Compliance, Physician office25D1064473
- Baptist Medical Group - Madison Specialty CareCertificate of Compliance, Physician office25D2047947
- Baptist Medical Group-Madison Primary CareCertificate of Compliance, Physician office25D2316902
- Baptist Memorial Rehabilitation Hospital-Madison,lCertificate of Waiver, Other25D2328831
- Baptist Surgery CenterCertificate of Waiver, Ambulatory surgery center25D2306884
- Belhaven Senior Care DBA the Madison Hlth & RehabCertificate of Waiver, Skilled nursing or nursing facility25D0684144
- Bluehealth Baptist ClinicCertificate of Compliance, Physician office25D2226860
Related
Questions
What is the CLIA number for ST Dominic Hospital Satellite Lab Madison Imaging in Madison?
25D1062983, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does ST Dominic Hospital Satellite Lab Madison Imaging hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D1062983 expire?
The CMS file lists August 18, 2027 as the certificate expiration date; the certificate took effect August 19, 2025.