CLIA lab
CLIA 25D2053253: Jfmc Ellisville LLC
Ellisville, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2053253 belongs to Jfmc Ellisville LLC in Ellisville, MS.
Certificate of Waiver, effective July 27, 2026, expires July 26, 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
- July 27, 2026
- Certificate expiration
- July 26, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 29, 2013
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 25D2053253
- Lab name
- Jfmc Ellisville LLC
- Address
- 85 Hal Crocker Rd, Ellisville, MS 39437
- Phone
- (601) 719-0092
- Fax
- (601) 719-0473
Annual test volume the lab reported
- Waived tests
- 2,165
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Ellisville, MS
- Ellisville Family Clinic LaboratoryCertificate of Compliance, Physician office25D0977574
- Ellisville Medical/Obgyn Clinic LabCertificate of Compliance, Other25D0957040
- Ellisville Pediatric ClinicCertificate of Waiver, Rural health clinic25D2070626
- Ellisville State SchoolCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities25D0030098
- Fast Pace Mississippi, PLLCCertificate of Waiver, Physician office25D2158625
- Interventional Spine & Sports InstituteCertificate of Waiver, Physician office25D2103440
- Jones County Detention CenterCertificate of Waiver, Prison25D2284642
- Jones County Junior College Health ServicesCertificate of Waiver, School or student health service25D2020826
- Jones County Rest HomeCertificate of Waiver, Skilled nursing or nursing facility25D0651933
- Magnolia Gardens Assisted Living of EllisvilleCertificate of Waiver, Assisted living facility25D2228978
Related
Questions
What is the CLIA number for Jfmc Ellisville LLC in Ellisville?
25D2053253, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jfmc Ellisville LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2053253 expire?
The CMS file lists July 26, 2028 as the certificate expiration date; the certificate took effect July 27, 2026.