CLIA lab

CLIA 25D2334429: Mantachie-Dorsey Elementary Clinic

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

CLIA number 25D2334429 belongs to Mantachie-Dorsey Elementary Clinic in Fulton, MS.

Certificate of Waiver, effective November 20, 2025, expires November 19, 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
November 20, 2025
Certificate expiration
November 19, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 20, 2025
Facility type
School or student health service
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
25D2334429
Lab name
Mantachie-Dorsey Elementary Clinic
Address
1 Dorsey School Road, Fulton, MS 38843
Phone
(662) 862-3553
Fax
(662) 282-7946

Annual test volume the lab reported

Waived tests
150

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

Other labs in Fulton, MS

Related

Questions

What is the CLIA number for Mantachie-Dorsey Elementary Clinic in Fulton?

25D2334429, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mantachie-Dorsey Elementary Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 25D2334429 expire?

The CMS file lists November 19, 2027 as the certificate expiration date; the certificate took effect November 20, 2025.

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