CLIA lab
CLIA 25D2193867: Goldton at Southaven, the
Southaven, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2193867 belongs to Goldton at Southaven, the in Southaven, MS.
Certificate of Waiver, effective September 25, 2024, expiration date September 24, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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 25, 2024
- Certificate expiration
- September 24, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 25, 2020
- Facility type
- Assisted living 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
- 25D2193867
- Lab name
- Goldton at Southaven, the
- Address
- 2782 Starlanding Rd E, Southaven, MS 38672
- Phone
- (662) 913-7900
- Fax
- (662) 339-7101
Annual test volume the lab reported
- Waived tests
- 4,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Southaven, MS
- All Children's Clinic, PCCertificate of Compliance, Physician office25D2016215
- Arizona UrologyCertificate of Registration, Physician office25D2336844
- Axon Surgical Center, LLCCertificate of Waiver, Ambulatory surgery center25D2344998
- BMG - Desoto Primary Care AssociatesCertificate of Waiver, Physician office25D2046244
- BMG Idtf Mid South Imaging CenterCertificate of Waiver, Ancillary test site25D2269466
- BMG Southaven Family PracticeCertificate of Waiver, Physician office25D2262142
- Balanced Minds and Wellness PLLCCertificate of Waiver, Physician office25D2346667
- Baptist Memorial HospitalCertificate of Accreditation, Hospital25D0316619
- Baptist Memorial Hospital Union Cty - BccdCertificate of Accreditation, Physician office25D0969587
- Baptist Memorial Medical Group, Inc- DWCCertificate of Waiver, Physician office25D2097401
Related
Questions
What is the CLIA number for Goldton at Southaven, the in Southaven?
25D2193867, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Goldton at Southaven, the hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2193867 expire?
The CMS file lists September 24, 2026 as the certificate expiration date; the certificate took effect September 25, 2024.