CLIA lab
CLIA 25D2012662: L C Tennin, JR, MD, PA
Canton, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2012662 belongs to L C Tennin, JR, MD, PA in Canton, MS.
Certificate of Waiver, effective September 8, 2026, expires September 7, 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
- September 8, 2026
- Certificate expiration
- September 7, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 8, 2010
- Facility type
- Rural health clinic
- Ownership (control type)
- Private
- 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
- 25D2012662
- Lab name
- L C Tennin, JR, MD, PA
- Address
- 122 East Academy, Canton, MS 39046
- Phone
- (601) 859-8992
- Fax
- (601) 859-5573
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.
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Related
Questions
What is the CLIA number for L C Tennin, JR, MD, PA in Canton?
25D2012662, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does L C Tennin, JR, MD, PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2012662 expire?
The CMS file lists September 7, 2028 as the certificate expiration date; the certificate took effect September 8, 2026.