CLIA lab

CLIA 25D2243740: Ivyraine Women's Clinic

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

CLIA number 25D2243740 belongs to Ivyraine Women's Clinic in Southaven, MS.

Certificate for Provider-Performed Microscopy Procedures, effective March 8, 2026, expires March 7, 2028.

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 for Provider-Performed Microscopy Procedures
Certificate effective
March 8, 2026
Certificate expiration
March 7, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
November 22, 2021
Facility type
Other practitioner
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
25D2243740
Lab name
Ivyraine Women's Clinic
Address
3964 Goodman Rd E Ste 131, Southaven, MS 38672
Phone
(662) 856-8440
Fax
(662) 856-8445

Annual test volume the lab reported

Waived tests
1,000
Provider-performed microscopy tests
100
Total
1,100

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

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Related

Questions

What is the CLIA number for Ivyraine Women's Clinic in Southaven?

25D2243740, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ivyraine Women's Clinic hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 25D2243740 expire?

The CMS file lists March 7, 2028 as the certificate expiration date; the certificate took effect March 8, 2026.

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