CLIA lab

CLIA 25D2158091: ST Dominic's Family Medicine - Gluckstadt

Madison, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 25D2158091 belongs to ST Dominic's Family Medicine - Gluckstadt in Madison, MS.

Certificate of Compliance, effective May 1, 2025, expires April 30, 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
May 1, 2025
Certificate expiration
April 30, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 20, 2018
Facility type
Physician office
Ownership (control type)
Religious affiliation
Lab classification
CLIA laboratory
Directly affiliated labs
4

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
25D2158091
Lab name
ST Dominic's Family Medicine - Gluckstadt
Address
286 Calhoun Station Pkwy, Madison, MS 39110
Phone
(601) 200-4321
Fax
(601) 859-0159

Annual test volume the lab reported

Waived tests
3,112
Other nonwaived tests
1,272
Total
4,384

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Madison, MS

Related

Questions

What is the CLIA number for ST Dominic's Family Medicine - Gluckstadt in Madison?

25D2158091, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does ST Dominic's Family Medicine - Gluckstadt hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 25D2158091 expire?

The CMS file lists April 30, 2027 as the certificate expiration date; the certificate took effect May 1, 2025.

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