CLIA lab
CLIA 25D2080145: Delta Health CTR Indianola Family & Children
Indianola, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2080145 belongs to Delta Health CTR Indianola Family & Children in Indianola, MS.
Certificate of Waiver, effective July 1, 2026, expires June 30, 2028.
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 1, 2026
- Certificate expiration
- June 30, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 1, 2014
- Facility type
- Rural health clinic
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 25D2080145
- Lab name
- Delta Health CTR Indianola Family & Children
- Address
- 118 Front Ave, Indianola, MS 38751
- Phone
- (662) 445-0900
- Fax
- (662) 887-5280
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.
Affiliated CLIA numbers
Other labs in Indianola, MS
- Delta Health Center Carver ElementaryCertificate of Waiver, Federally qualified health center25D2171528
- Delta Health Center Lockard Elementary SchoolCertificate of Waiver, School or student health service25D2171526
- Delta Primary Care Rural Health ClinicCertificate of Waiver, Rural health clinic25D2063415
- Home Health Care Services Inc DBA Adoration HomeCertificate of Waiver, Home health agency25D0899749
- Indianola Family Medical GroupCertificate of Accreditation, Physician office25D0316807
- Indianola Rehabilitation and Healthcare CenterCertificate of Waiver, Skilled nursing or nursing facility25D0674986
- Magic Mart PharmacyCertificate of Waiver, Pharmacy25D2194086
- Platinum Plus Care LLCCertificate of Waiver, Assisted living facility25D2193926
- Quality Family Care, LLCCertificate of Waiver, Other practitioner25D2138007
- RCG Mississippi IncCertificate of Waiver, End stage renal disease dialysis facility25D0885969
Related
Questions
What is the CLIA number for Delta Health CTR Indianola Family & Children in Indianola?
25D2080145, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Delta Health CTR Indianola Family & Children hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2080145 expire?
The CMS file lists June 30, 2028 as the certificate expiration date; the certificate took effect July 1, 2026.