CLIA lab
CLIA 25D2174790: Holly Springs Family Medical LLC
Holly Springs, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2174790 belongs to Holly Springs Family Medical LLC in Holly Springs, MS.
Certificate of Waiver, effective November 7, 2025, expires November 6, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- November 7, 2025
- Certificate expiration
- November 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 7, 2019
- Facility type
- Physician office
- 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
- 25D2174790
- Lab name
- Holly Springs Family Medical LLC
- Address
- 130 W Van Dorn Ave, Holly Springs, MS 38635
- Phone
- (662) 274-3212
- Fax
- (662) 274-3213
Annual test volume the lab reported
- Waived tests
- 3,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Holly Springs, MS
- Alliance Healthcare System, IncCertificate of Compliance, Hospital25D0651762
- Christopher's Manor Assisted LivingCertificate of Waiver, Assisted living facility25D2202875
- Fast Pace Mississippi, PLLCCertificate of Waiver, Physician office25D2147194
- Holly Springs Rehabilitation and Healthcare CenterCertificate of Waiver, Skilled nursing or nursing facility25D0678645
- Honeycomb Medical Group PLCCertificate of Waiver, Physician office25D1067907
- Lifeguard Ambulance Service - Marshall CountyCertificate of Waiver, Ambulance25D2261607
- Marshall County Correctional FacilityCertificate of Waiver, Prison25D0932806
- Marshall County School DistrictCertificate of Waiver, School or student health service25D2270696
- Marshall County VA Primary CareCertificate of Waiver, Physician office25D2078800
- Marshall Urgent Care LLCCertificate of Waiver, Other practitioner25D2128472
Related
Questions
What is the CLIA number for Holly Springs Family Medical LLC in Holly Springs?
25D2174790, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Holly Springs Family Medical LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2174790 expire?
The CMS file lists November 6, 2027 as the certificate expiration date; the certificate took effect November 7, 2025.