CLIA lab

CLIA 25D2068071: Hickory Flat Clinic LLC

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

CLIA number 25D2068071 belongs to Hickory Flat Clinic LLC in Hickory Flat, MS.

Certificate of Waiver, effective October 28, 2025, expires October 27, 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 28, 2025
Certificate expiration
October 27, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 28, 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
25D2068071
Lab name
Hickory Flat Clinic LLC
Address
250 Oak Street, Hickory Flat, MS 38633
Phone
(662) 551-6492

Annual test volume the lab reported

Waived tests
500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Related

Questions

What is the CLIA number for Hickory Flat Clinic LLC in Hickory Flat?

25D2068071, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Hickory Flat Clinic LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 25D2068071 expire?

The CMS file lists October 27, 2027 as the certificate expiration date; the certificate took effect October 28, 2025.

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