CLIA lab

CLIA 25D2228735: Magnolia Pediatric Extended Care

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

CLIA number 25D2228735 belongs to Magnolia Pediatric Extended Care in Laurel, MS.

Certificate of Waiver, effective June 30, 2025, expires June 29, 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
June 30, 2025
Certificate expiration
June 29, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 30, 2021
Facility type
Other
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
25D2228735
Lab name
Magnolia Pediatric Extended Care
Address
404 N 12th Ave, Laurel, MS 39440
Phone
(601) 682-1250
Fax
(601) 682-1256

Annual test volume the lab reported

Waived tests
60

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 Magnolia Pediatric Extended Care in Laurel?

25D2228735, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Magnolia Pediatric Extended Care hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 25D2228735 expire?

The CMS file lists June 29, 2027 as the certificate expiration date; the certificate took effect June 30, 2025.

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