CLIA lab
CLIA 25D2003849: Premise Health of Mississippi Medical PC
Forest, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2003849 belongs to Premise Health of Mississippi Medical PC in Forest, MS.
Certificate of Waiver, effective February 19, 2026, expires February 18, 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 Waiver
- Certificate effective
- February 19, 2026
- Certificate expiration
- February 18, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 19, 2010
- 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
- 25D2003849
- Lab name
- Premise Health of Mississippi Medical PC
- Address
- 1001 Fountain Road, Forest, MS 39074
- Phone
- (601) 469-0234
- Fax
- (601) 500-7072
Annual test volume the lab reported
- Waived tests
- 150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Fast Pace Mississippi, PLLCCertificate of Waiver, Physician office25D2176195
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Related
Questions
What is the CLIA number for Premise Health of Mississippi Medical PC in Forest?
25D2003849, 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 25D2003849 expire?
The CMS file lists February 18, 2028 as the certificate expiration date; the certificate took effect February 19, 2026.