CLIA lab
CLIA 25D1067906: Jefferson Davis Rural Health Clinic
Prentiss, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D1067906 belongs to Jefferson Davis Rural Health Clinic in Prentiss, MS.
Certificate of Waiver, effective April 27, 2025, expires April 26, 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
- April 27, 2025
- Certificate expiration
- April 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 27, 2007
- Facility type
- Rural health clinic
- Ownership (control type)
- Government, county
- 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
- 25D1067906
- Lab name
- Jefferson Davis Rural Health Clinic
- Address
- 1014 Rose St Ste A, Prentiss, MS 39474
- Phone
- (601) 792-2200
- Fax
- (601) 792-2345
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Prentiss, MS
- Family Health Care Clinic Inc - PrentissCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center25D1014745
- Family Health Care Clinic Inc-Prentiss Head StartCertificate of Waiver, School or student health service25D2032512
- Jefferson Davis Community HospitalCertificate of Compliance, Hospital25D0651947
- Jefferson Davis County Extended CareCertificate of Waiver, Skilled nursing or nursing facility25D0910815
- Nfinity Private Duty Home Health DBA NfinityCertificate of Waiver, Other25D2178164
- Prentiss Family Practice ClinicCertificate of Compliance, Physician office25D0662440
- Prentiss Primary Care PACertificate of Waiver, Physician office25D1007211
- Ware Family PracticeCertificate of Waiver, Physician office25D2261840
Related
Questions
What is the CLIA number for Jefferson Davis Rural Health Clinic in Prentiss?
25D1067906, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jefferson Davis Rural Health Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D1067906 expire?
The CMS file lists April 26, 2027 as the certificate expiration date; the certificate took effect April 27, 2025.