CLIA lab

CLIA 25D2068896: Agricola Elementary

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

CLIA number 25D2068896 belongs to Agricola Elementary in Lucedale, MS.

Certificate of Waiver, effective July 30, 2025, expires July 29, 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 30, 2025
Certificate expiration
July 29, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 14, 2013
Facility type
School or student health service
Ownership (control type)
Government, federal
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
25D2068896
Lab name
Agricola Elementary
Address
6165 Hwy 613, Lucedale, MS 39452
Phone
(601) 206-0098
Fax
(601) 530-0066

Annual test volume the lab reported

Waived tests
400

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

Other labs in Lucedale, MS

Related

Questions

What is the CLIA number for Agricola Elementary in Lucedale?

25D2068896, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Agricola Elementary hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 25D2068896 expire?

The CMS file lists July 29, 2027 as the certificate expiration date; the certificate took effect July 30, 2025.

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