CLIA lab
CLIA 25D2058044: Bagwell Medical Clinic
Hernando, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2058044 belongs to Bagwell Medical Clinic in Hernando, MS.
Certificate of Compliance, effective September 25, 2025, expires September 24, 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 Compliance
- Certificate effective
- September 25, 2025
- Certificate expiration
- September 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 29, 2013
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 25D2058044
- Lab name
- Bagwell Medical Clinic
- Address
- 2416 Mt Pleasant Road, Hernando, MS 38632
- Phone
- (662) 560-5966
- Fax
- (662) 560-5969
Annual test volume the lab reported
- Waived tests
- 6,727
- Other nonwaived tests
- 73,459
- Total
- 80,186
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Hernando, MS
- All Children's Clinic - HernandoCertificate of Compliance, Physician office25D2189260
- Bagwell Medical Clinic EastCertificate of Compliance, Physician office25D1107141
- City of Hernando Fire & EMSCertificate of Waiver, Ambulance25D2255465
- Davis Family Medical & Express CareCertificate of Waiver, Physician office25D2306918
- Desoto County Adult Detention FacilityCertificate of Waiver, Prison25D2241543
- Eudora Medical Center, LLCCertificate of Waiver, Other practitioner25D2274549
- Family Care ClinicCertificate of Waiver, Other practitioner25D2328358
- Funderburk's PharmacyCertificate of Waiver, Pharmacy25D0942356
- Health Connect America, IncCertificate of Waiver, Other25D2302849
- Hernando PsychiatryCertificate of Waiver, Other practitioner25D2284907
Related
Questions
What is the CLIA number for Bagwell Medical Clinic in Hernando?
25D2058044, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bagwell Medical Clinic hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 25D2058044 expire?
The CMS file lists September 24, 2027 as the certificate expiration date; the certificate took effect September 25, 2025.