CLIA lab
CLIA 25D2109616: Imani Family Medical Clinic, LLC
Jackson, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2109616 belongs to Imani Family Medical Clinic, LLC in Jackson, MS.
Certificate of Waiver, effective February 28, 2026, expires February 28, 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
- February 28, 2026
- Certificate expiration
- February 28, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 29, 2016
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 25D2109616
- Lab name
- Imani Family Medical Clinic, LLC
- Address
- 4510 Hanging Moss Road, Jackson, MS 39206
- Phone
- (769) 257-5713
- Fax
- (769) 257-5715
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.
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Related
Questions
What is the CLIA number for Imani Family Medical Clinic, LLC in Jackson?
25D2109616, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Imani Family Medical Clinic, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2109616 expire?
The CMS file lists February 28, 2028 as the certificate expiration date; the certificate took effect February 28, 2026.