CLIA lab
CLIA 25D2119777: Old Fannin TC LLC
Flowood, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2119777 belongs to Old Fannin TC LLC in Flowood, MS.
Certificate of Compliance, effective October 26, 2025, expires October 25, 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 Compliance
- Certificate effective
- October 26, 2025
- Certificate expiration
- October 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 4, 2016
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 25D2119777
- Lab name
- Old Fannin TC LLC
- Address
- 1710 Old Fannin Road, Flowood, MS 39232
- Phone
- (601) 487-9191
- Fax
- (601) 487-9192
Annual test volume the lab reported
- Waived tests
- 15,257
- Other nonwaived tests
- 3,736
- Total
- 18,993
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Flowood, MS
- Advanced Vascular & Vein Associates LLCCertificate of Waiver, Physician office25D2250603
- Any Lab Test NowCertificate of Waiver, Other25D2272172
- BNB Healthcare DBA Vitalcaring GroupCertificate of Waiver, Home health agency25D2070460
- Baptist Medical Group - Dogwood Primary CareCertificate of Compliance, Physician office25D1051743
- Belle Meade Medical ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office25D1044131
- Blake at Flowood, theCertificate of Waiver, Assisted living facility25D2171654
- Blue Cross & Blue Shield of Mississippi Mobile CliCertificate of Waiver, Mobile lab25D2238215
- Brentwood Behavioral Healthcare of MSCertificate of Waiver, Hospital25D0966550
- Camellia Hospice of Central Mississippi LLC DBACertificate of Waiver, Hospice25D1042522
- Capital OrthoCertificate of Waiver, Physician office25D1035706
Related
Questions
What is the CLIA number for Old Fannin TC LLC in Flowood?
25D2119777, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Old Fannin TC LLC hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 25D2119777 expire?
The CMS file lists October 25, 2027 as the certificate expiration date; the certificate took effect October 26, 2025.