CLIA lab
CLIA 25D1058967: Memorial Pass Road Internal Medicine Clinic
Biloxi, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D1058967 belongs to Memorial Pass Road Internal Medicine Clinic in Biloxi, MS.
Certificate of Waiver, effective September 19, 2026, expires September 18, 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 19, 2026
- Certificate expiration
- September 18, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 19, 2006
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 25D1058967
- Lab name
- Memorial Pass Road Internal Medicine Clinic
- Address
- 2771 Pass Road, Biloxi, MS 39531
- Phone
- (228) 385-4645
- Fax
- (228) 385-4695
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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Related
Questions
What is the CLIA number for Memorial Pass Road Internal Medicine Clinic in Biloxi?
25D1058967, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Memorial Pass Road Internal Medicine Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D1058967 expire?
The CMS file lists September 18, 2028 as the certificate expiration date; the certificate took effect September 19, 2026.