CLIA lab

CLIA 25D2050524: Southerncare Inc DBA Gentiva

Brookhaven, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 25D2050524 belongs to Southerncare Inc DBA Gentiva in Brookhaven, MS.

Certificate of Waiver, effective November 30, 2024, expires November 29, 2026.

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
November 30, 2024
Certificate expiration
November 29, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 30, 2012
Facility type
Hospice
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
5

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
25D2050524
Lab name
Southerncare Inc DBA Gentiva
Address
706 Hwy 51 N, Brookhaven, MS 39601
Phone
(601) 990-2315
Fax
(601) 748-7116

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.

Affiliated CLIA numbers

Other labs in Brookhaven, MS

Related

Questions

What is the CLIA number for Southerncare Inc DBA Gentiva in Brookhaven?

25D2050524, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Southerncare Inc DBA Gentiva hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 25D2050524 expire?

The CMS file lists November 29, 2026 as the certificate expiration date; the certificate took effect November 30, 2024.

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