CLIA lab
CLIA 25D2142188: Desoto Family Care Clinic, PLLC
Southaven, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2142188 belongs to Desoto Family Care Clinic, PLLC in Southaven, MS.
Certificate for Provider-Performed Microscopy Procedures, effective January 4, 2026, expires January 3, 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
- January 4, 2026
- Certificate expiration
- January 3, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 4, 2018
- Facility type
- Other practitioner
- 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
- 25D2142188
- Lab name
- Desoto Family Care Clinic, PLLC
- Address
- 346 Stateline Road, Southaven, MS 38671
- Phone
- (662) 313-5417
Annual test volume the lab reported
- Waived tests
- 2,400
- Provider-performed microscopy tests
- 250
- Total
- 2,650
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Southaven, MS
- All Children's Clinic, PCCertificate of Compliance, Physician office25D2016215
- Arizona UrologyCertificate of Registration, Physician office25D2336844
- Axon Surgical Center, LLCCertificate of Waiver, Ambulatory surgery center25D2344998
- BMG - Desoto Primary Care AssociatesCertificate of Waiver, Physician office25D2046244
- BMG Idtf Mid South Imaging CenterCertificate of Waiver, Ancillary test site25D2269466
- BMG Southaven Family PracticeCertificate of Waiver, Physician office25D2262142
- Balanced Minds and Wellness PLLCCertificate of Waiver, Physician office25D2346667
- Baptist Memorial HospitalCertificate of Accreditation, Hospital25D0316619
- Baptist Memorial Hospital Union Cty - BccdCertificate of Accreditation, Physician office25D0969587
- Baptist Memorial Medical Group, Inc- DWCCertificate of Waiver, Physician office25D2097401
Related
Questions
What is the CLIA number for Desoto Family Care Clinic, PLLC in Southaven?
25D2142188, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Desoto Family Care Clinic, PLLC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 25D2142188 expire?
The CMS file lists January 3, 2028 as the certificate expiration date; the certificate took effect January 4, 2026.