CLIA lab
CLIA 25D1107141: Bagwell Medical Clinic East
Hernando, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D1107141 belongs to Bagwell Medical Clinic East in Hernando, MS.
Certificate of Compliance, effective March 10, 2026, expires March 9, 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 Compliance
- Certificate effective
- March 10, 2026
- Certificate expiration
- March 9, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 28, 2009
- 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
- 25D1107141
- Lab name
- Bagwell Medical Clinic East
- Address
- 2670 Mcingvale Rd Suite H, Hernando, MS 38632
- Phone
- (662) 560-5966
- Fax
- (662) 560-5969
Annual test volume the lab reported
- Waived tests
- 5,712
- Other nonwaived tests
- 5
- Total
- 5,717
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Hernando, MS
- All Children's Clinic - HernandoCertificate of Compliance, Physician office25D2189260
- Bagwell Medical ClinicCertificate of Compliance, Physician office25D2058044
- City of Hernando Fire & EMSCertificate of Waiver, Ambulance25D2255465
- Davis Family Medical & Express CareCertificate of Waiver, Physician office25D2306918
- Desoto County Adult Detention FacilityCertificate of Waiver, Prison25D2241543
- Eudora Medical Center, LLCCertificate of Waiver, Other practitioner25D2274549
- Family Care ClinicCertificate of Waiver, Other practitioner25D2328358
- Funderburk's PharmacyCertificate of Waiver, Pharmacy25D0942356
- Health Connect America, IncCertificate of Waiver, Other25D2302849
- Hernando PsychiatryCertificate of Waiver, Other practitioner25D2284907
Related
Questions
What is the CLIA number for Bagwell Medical Clinic East in Hernando?
25D1107141, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bagwell Medical Clinic East hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 25D1107141 expire?
The CMS file lists March 9, 2028 as the certificate expiration date; the certificate took effect March 10, 2026.