CLIA lab

CLIA 25D2202869: Oaktree Manor Assisted Living Inc

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

CLIA number 25D2202869 belongs to Oaktree Manor Assisted Living Inc in Amory, MS.

Certificate of Waiver, effective December 1, 2024, expires November 30, 2026.

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
December 1, 2024
Certificate expiration
November 30, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 1, 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
25D2202869
Lab name
Oaktree Manor Assisted Living Inc
Address
60139 Cotton Gin Port Rd, Amory, MS 38821
Phone
(662) 256-8406
Fax
(662) 256-8883

Annual test volume the lab reported

Waived tests
400

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

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Questions

What is the CLIA number for Oaktree Manor Assisted Living Inc in Amory?

25D2202869, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Oaktree Manor Assisted Living Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 25D2202869 expire?

The CMS file lists November 30, 2026 as the certificate expiration date; the certificate took effect December 1, 2024.

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