CLIA lab
CLIA 25D2151963: Nissan Family Pharmacy
Canton, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2151963 belongs to Nissan Family Pharmacy in Canton, MS.
Certificate of Waiver, effective July 31, 2026, expires July 30, 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 of Waiver
- Certificate effective
- July 31, 2026
- Certificate expiration
- July 30, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 31, 2018
- Facility type
- Pharmacy
- 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
- 25D2151963
- Lab name
- Nissan Family Pharmacy
- Address
- 300 Nissan Drive, Canton, MS 39046
- Phone
- (601) 407-1545
- Fax
- (601) 407-1550
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.
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Related
Questions
What is the CLIA number for Nissan Family Pharmacy in Canton?
25D2151963, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Nissan Family Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2151963 expire?
The CMS file lists July 30, 2028 as the certificate expiration date; the certificate took effect July 31, 2026.