CLIA lab
CLIA 25D2258032: Magnolia Dermatology PLLC
Jackson, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2258032 belongs to Magnolia Dermatology PLLC in Jackson, MS.
Certificate for Provider-Performed Microscopy Procedures, effective April 14, 2026, expires April 13, 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
- April 14, 2026
- Certificate expiration
- April 13, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 14, 2022
- Facility type
- Physician office
- 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
- 25D2258032
- Lab name
- Magnolia Dermatology PLLC
- Address
- 1659 Lelia Dr, Jackson, MS 39216
- Phone
- (601) 910-3004
- Fax
- (601) 910-3005
Annual test volume the lab reported
- Waived tests
- 300
- Provider-performed microscopy tests
- 250
- Total
- 550
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 Magnolia Dermatology PLLC in Jackson?
25D2258032, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Magnolia Dermatology PLLC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 25D2258032 expire?
The CMS file lists April 13, 2028 as the certificate expiration date; the certificate took effect April 14, 2026.