CLIA lab

CLIA 25D2311167: Midsouth Integrative Medical

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

CLIA number 25D2311167 belongs to Midsouth Integrative Medical in Hernando, MS.

Certificate of Waiver, effective September 17, 2026, expires September 16, 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
September 17, 2026
Certificate expiration
September 16, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 17, 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
25D2311167
Lab name
Midsouth Integrative Medical
Address
1973 Oak Tree Cove, Hernando, MS 38632
Phone
(662) 349-0980
Fax
(877) 409-2985

Annual test volume the lab reported

Waived tests
500

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 Midsouth Integrative Medical in Hernando?

25D2311167, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Midsouth Integrative Medical hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 25D2311167 expire?

The CMS file lists September 16, 2028 as the certificate expiration date; the certificate took effect September 17, 2026.

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