CLIA lab
CLIA 25D2104734: Delta Health Center - Rolling Fork Satellite
Rolling Fork, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2104734 belongs to Delta Health Center - Rolling Fork Satellite in Rolling Fork, MS.
Certificate of Waiver, effective November 10, 2025, expires November 9, 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
- November 10, 2025
- Certificate expiration
- November 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 10, 2015
- Facility type
- Federally qualified health center
- Ownership (control type)
- Other
- 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
- 25D2104734
- Lab name
- Delta Health Center - Rolling Fork Satellite
- Address
- 20400 Hwy 61, Rolling Fork, MS 39159
- Phone
- (662) 741-8884
- Fax
- (662) 741-2700
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Rolling Fork, MS
- Fresenius Kidney Care Rolling Fork DialysisCertificate of Waiver, End stage renal disease dialysis facility25D2101531
- Sharkey Issaquena Community HospitalCertificate of Compliance, Hospital25D0317776
- Sharkey Issaquena Complete CareCertificate of Waiver, Physician office25D2268763
- Sharkey Issaquena Medical ClinicCertificate of Waiver, Physician office25D2216213
- South Delta High School-Based ClinicCertificate of Waiver, Federally qualified health center25D2114464
- Ummc - South Delta High SchoolCertificate of Waiver, School or student health service25D2114460
Related
Questions
What is the CLIA number for Delta Health Center - Rolling Fork Satellite in Rolling Fork?
25D2104734, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Delta Health Center - Rolling Fork Satellite hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2104734 expire?
The CMS file lists November 9, 2027 as the certificate expiration date; the certificate took effect November 10, 2025.