CLIA lab

CLIA 25D2189376: Starkville Pediatric Extended Care LLC

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

CLIA number 25D2189376 belongs to Starkville Pediatric Extended Care LLC in Starkville, MS.

Certificate of Waiver, effective July 30, 2026, expires July 29, 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 30, 2026
Certificate expiration
July 29, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 30, 2020
Facility type
Other
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
25D2189376
Lab name
Starkville Pediatric Extended Care LLC
Address
9771 Ms Highway 25, Starkville, MS 39759
Phone
(662) 320-3873

Annual test volume the lab reported

Waived tests
50

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

Other labs in Starkville, MS

Related

Questions

What is the CLIA number for Starkville Pediatric Extended Care LLC in Starkville?

25D2189376, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Starkville Pediatric Extended Care LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 25D2189376 expire?

The CMS file lists July 29, 2028 as the certificate expiration date; the certificate took effect July 30, 2026.

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