CLIA lab
CLIA 25D2171220: Mantachie Rural Health Care, Inc
Mantachie, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2171220 belongs to Mantachie Rural Health Care, Inc in Mantachie, MS.
Certificate of Waiver, effective August 27, 2025, expires August 26, 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 27, 2025
- Certificate expiration
- August 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 27, 2019
- Facility type
- Other
- Ownership (control type)
- Private
- 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
- 25D2171220
- Lab name
- Mantachie Rural Health Care, Inc
- Additional name
- School Base Clinic
- Address
- 311 Mustang Drive, Mantachie, MS 38855
- Phone
- (662) 282-4276
- Fax
- (662) 282-4219
Annual test volume the lab reported
- Waived tests
- 500
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
- Extra Mile Recovery CenterCertificate of Waiver, Other25D2134863
- 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, Federally qualified health center25D2257847
Related
Questions
What is the CLIA number for Mantachie Rural Health Care, Inc in Mantachie?
25D2171220, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mantachie Rural Health Care, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2171220 expire?
The CMS file lists August 26, 2027 as the certificate expiration date; the certificate took effect August 27, 2025.