CLIA lab

CLIA 25D2194099: Summerland Manor

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

CLIA number 25D2194099 belongs to Summerland Manor in Bay Springs, MS.

Certificate of Waiver, effective September 28, 2024, expiration date September 27, 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 28, 2024
Certificate expiration
September 27, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
September 28, 2020
Facility type
Assisted living facility
Ownership (control type)
Government, county
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
25D2194099
Lab name
Summerland Manor
Address
12 Summerland Rd, Bay Springs, MS 39422
Phone
(601) 764-2101
Fax
(601) 764-3121

Annual test volume the lab reported

Waived tests
900

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

Other labs in Bay Springs, MS

Related

Questions

What is the CLIA number for Summerland Manor in Bay Springs?

25D2194099, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Summerland Manor hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 25D2194099 expire?

The CMS file lists September 27, 2026 as the certificate expiration date; the certificate took effect September 28, 2024.

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