CLIA lab
CLIA 25D2104741: Delta Health Center, Inc/Hollandale Satellite
Hollandale, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2104741 belongs to Delta Health Center, Inc/Hollandale Satellite in Hollandale, 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
- 25D2104741
- Lab name
- Delta Health Center, Inc/Hollandale Satellite
- Address
- 100 East Washington Street, Hollandale, MS 38748
- 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 Hollandale, MS
Related
Questions
What is the CLIA number for Delta Health Center, Inc/Hollandale Satellite in Hollandale?
25D2104741, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Delta Health Center, Inc/Hollandale Satellite hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2104741 expire?
The CMS file lists November 9, 2027 as the certificate expiration date; the certificate took effect November 10, 2025.