CLIA lab
CLIA 25D2089641: ST Dominic Pain Management Center
Jackson, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2089641 belongs to ST Dominic Pain Management Center in Jackson, MS.
Certificate of Waiver, effective January 6, 2025, expires January 5, 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
- January 6, 2025
- Certificate expiration
- January 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 6, 2015
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 25D2089641
- Lab name
- ST Dominic Pain Management Center
- Address
- 970 Lakeland Drive Suite 45, Jackson, MS 39216
- Phone
- (601) 200-4690
- Fax
- (601) 200-4698
Annual test volume the lab reported
- Waived tests
- 600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for ST Dominic Pain Management Center in Jackson?
25D2089641, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does ST Dominic Pain Management Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2089641 expire?
The CMS file lists January 5, 2027 as the certificate expiration date; the certificate took effect January 6, 2025.