CLIA lab

CLIA 25D2224034: West Bolivar High School

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

CLIA number 25D2224034 belongs to West Bolivar High School in Rosedale, MS.

Certificate of Waiver, effective May 11, 2025, expires May 10, 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
May 11, 2025
Certificate expiration
May 10, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 11, 2021
Facility type
School or student health service
Ownership (control type)
Government, state
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
25D2224034
Lab name
West Bolivar High School
Address
1212 South Main St, Rosedale, MS 38769
Phone
(662) 719-3743

Annual test volume the lab reported

Waived tests
200

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

Other labs in Rosedale, MS

Related

Questions

What is the CLIA number for West Bolivar High School in Rosedale?

25D2224034, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does West Bolivar High School hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 25D2224034 expire?

The CMS file lists May 10, 2027 as the certificate expiration date; the certificate took effect May 11, 2025.

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