CLIA lab
CLIA 25D2125661: Gastroenterology Clinic
Olive Branch, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2125661 belongs to Gastroenterology Clinic in Olive Branch, MS.
Certificate of Compliance, effective November 15, 2025, expires November 14, 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
- November 15, 2025
- Certificate expiration
- November 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 10, 2017
- 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
- 25D2125661
- Lab name
- Gastroenterology Clinic
- Address
- 6812 Crumpler Blvd Ste 205-B, Olive Branch, MS 38654
- Phone
- (318) 327-3105
- Fax
- (318) 388-4177
Annual test volume the lab reported
- Other nonwaived tests
- 8,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Convenient Care Clinic, LLCCertificate of Waiver, Physician office25D2332292
- Design Your Wellness LLCCertificate of Waiver, Other practitioner25D2287487
- Desoto Children's Clinic - Olive BranchCertificate of Waiver, Physician office25D2100542
- Dot Exams Plus LLCCertificate of Waiver, Physician office25D2270374
- Eye Care Surgery Center of Olive BranchCertificate of Waiver, Ambulatory surgery center25D1024744
- Faith of A Mustard Seed Psychiatric Wellness PLLCCertificate of Waiver, Physician office25D2314889
Related
Questions
What is the CLIA number for Gastroenterology Clinic in Olive Branch?
25D2125661, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Gastroenterology Clinic hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 25D2125661 expire?
The CMS file lists November 14, 2027 as the certificate expiration date; the certificate took effect November 15, 2025.