CLIA lab
CLIA 25D2122435: Millcreek of Kosciusko
Kosciusko, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2122435 belongs to Millcreek of Kosciusko in Kosciusko, MS.
Certificate of Waiver, effective November 29, 2024, expires November 28, 2026.
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
- November 29, 2024
- Certificate expiration
- November 28, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 29, 2016
- Facility type
- Other
- 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
- 25D2122435
- Lab name
- Millcreek of Kosciusko
- Address
- 162 Aponaug Rd, Kosciusko, MS 39090
- Phone
- (662) 289-7902
- Fax
- (662) 289-7905
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Kosciusko, MS
- Amaris Medical GroupCertificate for Provider-Performed Microscopy Procedures, Other practitioner25D2209251
- Attala Comm Care Ctr/County Nursing CTCertificate of Waiver, Skilled nursing or nursing facility25D0928819
- Baptist Medical Center - AttalaCertificate of Compliance, Hospital25D0029755
- Baptist Medical Clinic KosciuskoCertificate of Waiver, Physician office25D2104929
- Biomedical Applications of Mississippi Inc DBA BmaCertificate of Waiver, End stage renal disease dialysis facility25D0902269
- Crescent City Surgical Centre Diagnostics, LLCCertificate of Registration, Independent25D2346670
- Fast Pace Mississippi, PLLCCertificate of Waiver, Physician office25D2149252
- Kosciusko VA Primary Care CenterCertificate of Waiver, Community clinic25D2071075
- Premier Kosciusko Medical ClinicCertificate of Compliance, Physician office25D0317542
- Premier Medical Group of MS DBA Trace UrgentCertificate of Compliance, Physician office25D0966298
Related
Questions
What is the CLIA number for Millcreek of Kosciusko in Kosciusko?
25D2122435, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Millcreek of Kosciusko hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2122435 expire?
The CMS file lists November 28, 2026 as the certificate expiration date; the certificate took effect November 29, 2024.