CLIA lab
CLIA 25D2100542: Desoto Children's Clinic - Olive Branch
Olive Branch, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2100542 belongs to Desoto Children's Clinic - Olive Branch in Olive Branch, MS.
Certificate of Waiver, effective May 15, 2025, expires May 14, 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
- May 15, 2025
- Certificate expiration
- May 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 17, 2015
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 25D2100542
- Lab name
- Desoto Children's Clinic - Olive Branch
- Address
- 7145 Goodman Rd, Olive Branch, MS 38654
- Phone
- (662) 333-5001
- Fax
- (662) 510-4200
Annual test volume the lab reported
- Waived tests
- 8,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Olive Branch, MS
- Advanced Dermatology & Skin Cancer Associates PLLCCertificate of Compliance, Physician office25D2054572
- Back on TrackCertificate of Waiver, Other practitioner25D2236561
- Brown Behavioral Health ServicesCertificate of Waiver, Physician office25D2291668
- Charmed Direct Primary CareCertificate of Waiver, Physician office25D2150433
- Convenient Care Clinic, LLCCertificate of Waiver, Physician office25D2332292
- Design Your Wellness LLCCertificate of Waiver, Other practitioner25D2287487
- Dot Exams Plus LLCCertificate of Waiver, Physician office25D2270374
- Eye Care Surgery Center of Olive BranchCertificate of Waiver, Ambulatory surgery center25D1024744
- Faith of A Mustard Seed Psychiatric Wellness PLLCCertificate of Waiver, Physician office25D2314889
- Fast Pace Mississippi, PLLCCertificate of Waiver, Physician office25D2253128
Related
Questions
What is the CLIA number for Desoto Children's Clinic - Olive Branch in Olive Branch?
25D2100542, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Desoto Children's Clinic - Olive Branch hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2100542 expire?
The CMS file lists May 14, 2027 as the certificate expiration date; the certificate took effect May 15, 2025.