CLIA lab
CLIA 25D2193416: Bolivar Medical Center Long Term Care
Cleveland, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2193416 belongs to Bolivar Medical Center Long Term Care in Cleveland, MS.
Certificate of Waiver, effective September 21, 2026, expires September 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
- September 21, 2026
- Certificate expiration
- September 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 21, 2020
- Facility type
- Skilled nursing or nursing facility
- 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
- 25D2193416
- Lab name
- Bolivar Medical Center Long Term Care
- Address
- 901 E Sunflower Rd, Cleveland, MS 38732
- Phone
- (662) 846-2459
- Fax
- (662) 846-2241
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Bolivar Medical Center LTCCMS Care Compare ratings for the facility at the same street address
Other labs in Cleveland, MS
- Adoration HospiceCertificate of Waiver, Hospice25D2202360
- Bolivar Medical Center - Radiology DepartmentCertificate of Waiver, Hospital25D2292788
- Bolivar Phys Pract DBA Cleveland Medical ClinicCertificate of Compliance, Physician office25D0316773
- Bolivar Physician's PracticesCertificate of Compliance, Physician office25D0949390
- Cleveland Children's Clinic, PLLCCertificate of Waiver, Physician office25D2111970
- Cleveland Community Care CenterCertificate of Waiver, Skilled nursing or nursing facility25D0672186
- Cleveland School DistrictCertificate of Waiver, School or student health service25D2121442
- D & F Medical Consulting LLC DBA Dynamic WellnessCertificate of Waiver, Physician office25D2177887
- Delta Rehabilitation and Healthcare CenterCertificate of Waiver, Skilled nursing or nursing facility25D0890847
- East End Family Medical ClinicCertificate of Waiver, Other practitioner25D2161758
Related
Questions
What is the CLIA number for Bolivar Medical Center Long Term Care in Cleveland?
25D2193416, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bolivar Medical Center Long Term Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2193416 expire?
The CMS file lists September 20, 2028 as the certificate expiration date; the certificate took effect September 21, 2026.