CLIA lab
CLIA 25D2000678: Premise Health of Mississippi Medical, PC
Forest, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2000678 belongs to Premise Health of Mississippi Medical, PC in Forest, MS.
Certificate of Waiver, effective December 3, 2025, expires December 2, 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 3, 2025
- Certificate expiration
- December 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 3, 2009
- Facility type
- Other
- 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
- 25D2000678
- Lab name
- Premise Health of Mississippi Medical, PC
- Address
- 19859 Hwy 80, Forest, MS 39074
- Phone
- (601) 469-5853
- Fax
- (601) 469-5125
Annual test volume the lab reported
- Waived tests
- 25
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 Forest?
25D2000678, 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 25D2000678 expire?
The CMS file lists December 2, 2027 as the certificate expiration date; the certificate took effect December 3, 2025.