CLIA lab

CLIA 25D2257847: Mantachie Rural Health Care, Inc

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

CLIA number 25D2257847 belongs to Mantachie Rural Health Care, Inc in Mantachie, MS.

Certificate of Waiver, effective April 12, 2026, expires April 11, 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 of Waiver
Certificate effective
April 12, 2026
Certificate expiration
April 11, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 12, 2022
Facility type
Federally qualified health center
Ownership (control type)
Private
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
25D2257847
Lab name
Mantachie Rural Health Care, Inc
Additional name
Behavioral Health Clinic
Address
5510 Highway 363, Mantachie, MS 38855
Phone
(662) 282-4359
Fax
(662) 282-7040

Annual test volume the lab reported

Waived tests
300

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

Other labs in Mantachie, MS

Related

Questions

What is the CLIA number for Mantachie Rural Health Care, Inc in Mantachie?

25D2257847, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mantachie Rural Health Care, Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 25D2257847 expire?

The CMS file lists April 11, 2028 as the certificate expiration date; the certificate took effect April 12, 2026.

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