CLIA lab

CLIA 25D2070628: Lifecore Health Group

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

CLIA number 25D2070628 belongs to Lifecore Health Group in Tupelo, MS.

Certificate of Waiver, effective December 20, 2025, expires December 19, 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
December 20, 2025
Certificate expiration
December 19, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 20, 2013
Facility type
Rural health clinic
Ownership (control type)
Other
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
25D2070628
Lab name
Lifecore Health Group
Address
499 Gloster Creek Village Suite A-3, Tupelo, MS 38801
Phone
(662) 640-4595
Fax
(662) 680-5122

Annual test volume the lab reported

Waived tests
520

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

Affiliated CLIA numbers

Other labs in Tupelo, MS

Related

Questions

What is the CLIA number for Lifecore Health Group in Tupelo?

25D2070628, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lifecore Health Group hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 25D2070628 expire?

The CMS file lists December 19, 2027 as the certificate expiration date; the certificate took effect December 20, 2025.

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