CLIA lab
CLIA 25D2184536: Chris Park DO PC DBA Park Medical Clinic
Pontotoc, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2184536 belongs to Chris Park DO PC DBA Park Medical Clinic in Pontotoc, MS.
Certificate of Waiver, effective May 21, 2026, expires May 20, 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
- May 21, 2026
- Certificate expiration
- May 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 21, 2020
- 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
- 25D2184536
- Lab name
- Chris Park DO PC DBA Park Medical Clinic
- Address
- 47 S Main Street, Pontotoc, MS 38863
- Phone
- (662) 499-2802
- Fax
- (866) 939-1560
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Pontotoc, MS
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- Access School Health - South PontotocCertificate of Waiver, School or student health service25D2150116
- Banah Pregnancy Testing CenterCertificate of Waiver, Other25D1065225
- Flavia H West MDCertificate of Waiver, Physician office25D0317158
- Lauderdale Medical Group PLLCCertificate of Waiver, Physician office25D2299820
- Lifecore Health GroupCertificate of Waiver, Rural health clinic25D2125787
- Lindsay Clinic PACertificate of Compliance, Other practitioner25D1072442
- MRH Med Grp-Acute Care & Family Clinic of PontotocCertificate of Compliance, Other practitioner25D1024837
- Millcreek of PontotocCertificate of Waiver, Other25D0975409
- Mississippicare 113Certificate of Waiver, Federally qualified health center25D2036203
Related
Questions
What is the CLIA number for Chris Park DO PC DBA Park Medical Clinic in Pontotoc?
25D2184536, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Chris Park DO PC DBA Park Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2184536 expire?
The CMS file lists May 20, 2028 as the certificate expiration date; the certificate took effect May 21, 2026.