CLIA lab

CLIA 25D2114459: South Delta Elementary and Middle School

Anguilla, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 25D2114459 belongs to South Delta Elementary and Middle School in Anguilla, MS.

Certificate of Waiver, effective June 14, 2026, expires June 13, 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
June 14, 2026
Certificate expiration
June 13, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 14, 2016
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
25D2114459
Lab name
South Delta Elementary and Middle School
Additional name
Based Clinic
Address
86 Holland Street, Anguilla, MS 38721
Phone
(601) 362-5321
Fax
(601) 364-5159

Annual test volume the lab reported

Waived tests
500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Related

Questions

What is the CLIA number for South Delta Elementary and Middle School in Anguilla?

25D2114459, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does South Delta Elementary and Middle School hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 25D2114459 expire?

The CMS file lists June 13, 2028 as the certificate expiration date; the certificate took effect June 14, 2026.

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