CLIA lab
CLIA 25D2288167: Ummc - Grenada Specialty Clinic
Grenada, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2288167 belongs to Ummc - Grenada Specialty Clinic in Grenada, MS.
Certificate of Waiver, effective August 22, 2025, expires August 21, 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
- August 22, 2025
- Certificate expiration
- August 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 22, 2023
- Facility type
- Physician office
- 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
- 25D2288167
- Lab name
- Ummc - Grenada Specialty Clinic
- Address
- 965 Avent Dr Ste 105, Grenada, MS 38901
- Phone
- (662) 227-6422
- Fax
- (662) 227-6433
Annual test volume the lab reported
- Waived tests
- 120
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Grenada, MS
- 20/20 Eye Care of Grenada PACertificate of Waiver, Physician office25D2054053
- Baptist Memorial Hospital Union County - BccgCertificate of Registration, Physician office25D2346219
- Children's Health Clinic LLCCertificate of Waiver, Physician office25D0317189
- Family Health Care Clinic Inc GrenadaCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center25D1086901
- Family Health Care Clinic Inc-Grenada Head StartCertificate of Waiver, School or student health service25D2032515
- Family Health Clinic of GrenadaCertificate of Waiver, Other practitioner25D1029760
- Fast Pace Mississippi, PLLCCertificate of Waiver, Physician office25D2148987
- Grenada DermatologyCertificate of Compliance, Physician office25D2262095
- Grenada Elementary SchoolCertificate of Waiver, School or student health service25D1068813
- Grenada Living Center, LLCCertificate of Waiver, Skilled nursing or nursing facility25D0029637
Related
Questions
What is the CLIA number for Ummc - Grenada Specialty Clinic in Grenada?
25D2288167, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ummc - Grenada Specialty Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2288167 expire?
The CMS file lists August 21, 2027 as the certificate expiration date; the certificate took effect August 22, 2025.