CLIA lab

CLIA 25D2116983: Magnolia Dermatology, PLLC

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

CLIA number 25D2116983 belongs to Magnolia Dermatology, PLLC in Clinton, MS.

Certificate for Provider-Performed Microscopy Procedures, effective August 5, 2026, expires August 4, 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 for Provider-Performed Microscopy Procedures
Certificate effective
August 5, 2026
Certificate expiration
August 4, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 5, 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
25D2116983
Lab name
Magnolia Dermatology, PLLC
Address
815 Highway 80 E, Clinton, MS 39056
Phone
(601) 910-3004

Annual test volume the lab reported

Waived tests
30
Provider-performed microscopy tests
30
Total
60

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 Magnolia Dermatology, PLLC in Clinton?

25D2116983, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Magnolia Dermatology, PLLC hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 25D2116983 expire?

The CMS file lists August 4, 2028 as the certificate expiration date; the certificate took effect August 5, 2026.

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