CLIA lab
CLIA 25D2202882: Church Street Manor
Ecru, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2202882 belongs to Church Street Manor in Ecru, 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
- 25D2202882
- Lab name
- Church Street Manor
- Address
- 36 Elm Ln, Ecru, MS 38841
- Phone
- (662) 489-6462
- Fax
- (662) 489-6491
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.
Other labs in Ecru, MS
- Access School Health - North PontotocCertificate of Waiver, School or student health service25D2150119
- Ashley Wellness CenterCertificate of Waiver, Other practitioner25D2300550
- Friendship Medical ClinicCertificate of Compliance, Physician office25D1051740
- Pontotoc Hlth Srvcs DBA Childrens Clinic-EcruCertificate of Compliance, Physician office25D0665701
Related
Questions
What is the CLIA number for Church Street Manor in Ecru?
25D2202882, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Church Street Manor hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2202882 expire?
The CMS file lists November 30, 2026 as the certificate expiration date; the certificate took effect December 1, 2024.