CLIA lab
CLIA 25D2216213: Sharkey Issaquena Medical Clinic
Rolling Fork, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2216213 belongs to Sharkey Issaquena Medical Clinic in Rolling Fork, MS.
Certificate of Waiver, effective March 10, 2025, expires March 9, 2027.
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
- March 10, 2025
- Certificate expiration
- March 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 10, 2021
- Facility type
- Physician office
- 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
- 25D2216213
- Lab name
- Sharkey Issaquena Medical Clinic
- Address
- 283 W Race St, Rolling Fork, MS 39159
- Phone
- (662) 873-0477
- Fax
- (662) 655-1236
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Rolling Fork, MS
- Delta Health Center - Rolling Fork SatelliteCertificate of Waiver, Federally qualified health center25D2104734
- Fresenius Kidney Care Rolling Fork DialysisCertificate of Waiver, End stage renal disease dialysis facility25D2101531
- Sharkey Issaquena Community HospitalCertificate of Compliance, Hospital25D0317776
- Sharkey Issaquena Complete CareCertificate of Waiver, Physician office25D2268763
- South Delta High School-Based ClinicCertificate of Waiver, Federally qualified health center25D2114464
- Ummc - South Delta High SchoolCertificate of Waiver, School or student health service25D2114460
Related
Questions
What is the CLIA number for Sharkey Issaquena Medical Clinic in Rolling Fork?
25D2216213, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sharkey Issaquena Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2216213 expire?
The CMS file lists March 9, 2027 as the certificate expiration date; the certificate took effect March 10, 2025.