CLIA lab
CLIA 25D2036203: Mississippicare 113
Pontotoc, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2036203 belongs to Mississippicare 113 in Pontotoc, MS.
Certificate of Waiver, effective October 20, 2025, expires October 19, 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
- October 20, 2025
- Certificate expiration
- October 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 2, 2012
- Facility type
- Federally qualified health center
- 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
- 25D2036203
- Lab name
- Mississippicare 113
- Address
- 353 Hwy 15 N, Pontotoc, MS 38863
- Phone
- (662) 490-1985
- Fax
- (662) 490-1989
Annual test volume the lab reported
- Waived tests
- 780
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Pontotoc, MS
- Access School Health - Pontotoc MainCertificate of Waiver, School or student health service25D2169925
- Access School Health - South PontotocCertificate of Waiver, School or student health service25D2150116
- Banah Pregnancy Testing CenterCertificate of Waiver, Other25D1065225
- Chris Park DO PC DBA Park Medical ClinicCertificate of Waiver, Physician office25D2184536
- Flavia H West MDCertificate of Waiver, Physician office25D0317158
- Lauderdale Medical Group PLLCCertificate of Waiver, Physician office25D2299820
- Lifecore Health GroupCertificate of Waiver, Rural health clinic25D2125787
- Lindsay Clinic PACertificate of Compliance, Other practitioner25D1072442
- MRH Med Grp-Acute Care & Family Clinic of PontotocCertificate of Compliance, Other practitioner25D1024837
- Millcreek of PontotocCertificate of Waiver, Other25D0975409
Related
Questions
What is the CLIA number for Mississippicare 113 in Pontotoc?
25D2036203, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mississippicare 113 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2036203 expire?
The CMS file lists October 19, 2027 as the certificate expiration date; the certificate took effect October 20, 2025.