CLIA lab
CLIA 25D2299820: Lauderdale Medical Group PLLC
Pontotoc, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2299820 belongs to Lauderdale Medical Group PLLC in Pontotoc, MS.
Certificate of Waiver, effective February 27, 2026, expires February 26, 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
- February 27, 2026
- Certificate expiration
- February 26, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 27, 2024
- 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
- 25D2299820
- Lab name
- Lauderdale Medical Group PLLC
- Address
- 11 E Jefferson St, Pontotoc, MS 38863
- Phone
- (662) 489-6041
- Fax
- (662) 586-9998
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Chris Park DO PC DBA Park Medical ClinicCertificate of Waiver, Physician office25D2184536
- Flavia H West MDCertificate of Waiver, Physician office25D0317158
- Lifecore Health GroupCertificate of Waiver, Rural health clinic25D2125787
- Lindsay Clinic PACertificate of Compliance, Other practitioner25D1072442
- MRH Med Grp-Acute Care & Family Clinic of PontotocCertificate of Compliance, Other practitioner25D1024837
- Millcreek of PontotocCertificate of Waiver, Other25D0975409
- Mississippicare 113Certificate of Waiver, Federally qualified health center25D2036203
Related
Questions
What is the CLIA number for Lauderdale Medical Group PLLC in Pontotoc?
25D2299820, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lauderdale Medical Group PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2299820 expire?
The CMS file lists February 26, 2028 as the certificate expiration date; the certificate took effect February 27, 2026.