CLIA lab
CLIA 25D2134863: Extra Mile Recovery Center
Mantachie, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2134863 belongs to Extra Mile Recovery Center in Mantachie, MS.
Certificate of Waiver, effective August 10, 2025, expires August 9, 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 Waiver
- Certificate effective
- August 10, 2025
- Certificate expiration
- August 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 10, 2017
- 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
- 25D2134863
- Lab name
- Extra Mile Recovery Center
- Address
- 720 Oak Grove Road #5, Mantachie, MS 38855
- Phone
- (662) 810-4146
- Fax
- (601) 653-9587
Annual test volume the lab reported
- Waived tests
- 1,100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mantachie, MS
- Community Family HealthcareCertificate of Compliance, Physician office25D1003229
- Hometown Care of MantachieCertificate of Compliance, Other practitioner25D2162109
- Mantachie Rural Health Care IncCertificate of Compliance, Federally qualified health center25D0317142
- Mantachie Rural Health Care, IncCertificate of Waiver, Other25D2171220
- Mantachie Rural Health Care, IncCertificate of Waiver, Federally qualified health center25D2257847
Related
Questions
What is the CLIA number for Extra Mile Recovery Center in Mantachie?
25D2134863, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Extra Mile Recovery Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2134863 expire?
The CMS file lists August 9, 2027 as the certificate expiration date; the certificate took effect August 10, 2025.