CLIA lab
CLIA 25D2114460: Ummc - South Delta High School
Rolling Fork, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2114460 belongs to Ummc - South Delta High School in Rolling Fork, 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
- School or student health service
- Ownership (control type)
- Government, state
- 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
- 25D2114460
- Lab name
- Ummc - South Delta High School
- Address
- 303 Parkway Street, Rolling Fork, MS 39159
- Phone
- (662) 873-4308
- Fax
- (662) 873-6106
Annual test volume the lab reported
- Waived tests
- 150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Rolling Fork, MS
- Delta Health Center - Rolling Fork SatelliteCertificate of Waiver, Federally qualified health center25D2104734
- 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
Related
Questions
What is the CLIA number for Ummc - South Delta High School in Rolling Fork?
25D2114460, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ummc - South Delta High School hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2114460 expire?
The CMS file lists June 13, 2028 as the certificate expiration date; the certificate took effect June 14, 2026.