CLIA lab
CLIA 25D0319220: Petal Family Practice
Petal, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D0319220 belongs to Petal Family Practice in Petal, MS.
Certificate of Compliance, effective September 28, 2025, expires September 27, 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 Compliance
- Certificate effective
- September 28, 2025
- Certificate expiration
- September 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 14, 1993
- 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
- 25D0319220
- Lab name
- Petal Family Practice
- Address
- 50 Parkway Lane, Petal, MS 39465
- Phone
- (601) 544-7406
- Fax
- (601) 584-6457
Annual test volume the lab reported
- Waived tests
- 1,452
- Other nonwaived tests
- 14,684
- Total
- 16,136
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Petal, MS
- Bedford Care Center of Petal, LLCCertificate of Waiver, Skilled nursing or nursing facility25D0319216
- Children's Clinic - Petal, theCertificate of Compliance, Physician office25D2083016
- Hattiesburg Clinic Clinical ResearchCertificate of Waiver, Other25D2072189
- Mid-South Direct Primary CareCertificate of Waiver, Physician office25D2254328
- Petal Immediate CareCertificate of Compliance, Physician office25D2312803
- Petal School ClinicCertificate for Provider-Performed Microscopy Procedures, School or student health service25D2072433
- Petal Urgent Care ClinicCertificate of Waiver, Other25D2019409
- Pine Belt Dermatology Dermpath LabCertificate of Compliance, Physician office25D2278633
- Pine Belt Dermatology and Skin Cancer CenterCertificate of Waiver, Physician office25D2083928
- South Mississippi Pharmacists Inc DBA Park PlaceCertificate of Waiver, Pharmacy25D2235815
Related
Questions
What is the CLIA number for Petal Family Practice in Petal?
25D0319220, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Petal Family Practice hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 25D0319220 expire?
The CMS file lists September 27, 2027 as the certificate expiration date; the certificate took effect September 28, 2025.