CLIA lab
CLIA 25D1077763: Premise Health of Mississippi Medical, PC
Blue Springs, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D1077763 belongs to Premise Health of Mississippi Medical, PC in Blue Springs, MS.
Certificate of Waiver, effective December 18, 2025, expires December 17, 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
- December 18, 2025
- Certificate expiration
- December 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 18, 2007
- Facility type
- Industrial
- 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
- 25D1077763
- Lab name
- Premise Health of Mississippi Medical, PC
- Address
- 1200 Magnolia Way, Blue Springs, MS 38828
- Phone
- (662) 317-4100
- Fax
- (662) 317-4103
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.
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Related
Questions
What is the CLIA number for Premise Health of Mississippi Medical, PC in Blue Springs?
25D1077763, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premise Health of Mississippi Medical, PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D1077763 expire?
The CMS file lists December 17, 2027 as the certificate expiration date; the certificate took effect December 18, 2025.