CLIA lab
CLIA 25D2061911: Southern Primary Care, PLLC
Brookhaven, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2061911 belongs to Southern Primary Care, PLLC in Brookhaven, MS.
Certificate of Waiver, effective July 8, 2025, expires July 7, 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
- July 8, 2025
- Certificate expiration
- July 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 8, 2013
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 25D2061911
- Lab name
- Southern Primary Care, PLLC
- Address
- 327 N Jackson St, Brookhaven, MS 39601
- Phone
- (601) 833-3800
- Fax
- (601) 833-3847
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Brookhaven ChiropracticCertificate of Waiver, Physician office25D2083291
- Brookhaven Diabetes & Primary Care ClinicCertificate of Waiver, Physician office25D2332015
- Brookhaven Ear Nose Throat PACertificate of Waiver, Physician office25D1076717
- Brookhaven Health and WellnessCertificate of Waiver, Other practitioner25D2081937
- Brookhaven Health and Wellness Urgent CareCertificate of Waiver, Physician office25D2118719
- Brookhaven Internal Medicine PACertificate of Waiver, Physician office25D0878508
- Brookhaven UrologyCertificate of Compliance, Physician office25D0319979
Related
Questions
What is the CLIA number for Southern Primary Care, PLLC in Brookhaven?
25D2061911, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southern Primary Care, PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2061911 expire?
The CMS file lists July 7, 2027 as the certificate expiration date; the certificate took effect July 8, 2025.