CLIA lab
CLIA 25D1071084: Wisteria Gardens LLC
Pearl, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D1071084 belongs to Wisteria Gardens LLC in Pearl, MS.
Certificate of Waiver, effective July 18, 2025, expires July 17, 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
- July 18, 2025
- Certificate expiration
- July 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 18, 2007
- Facility type
- Skilled nursing or nursing facility
- 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
- 25D1071084
- Lab name
- Wisteria Gardens LLC
- Address
- 5420 Hwy 80 East, Pearl, MS 39208
- Phone
- (601) 624-2498
- Fax
- (601) 709-0832
Annual test volume the lab reported
- Waived tests
- 1,095
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Wisteria GardensCMS Care Compare ratings for the facility at the same street address
Other labs in Pearl, MS
- Baptist Medical Group - Pearl Primary CareCertificate of Compliance, Physician office25D2205090
- Baptist Medical Group - Rankin Primary CareCertificate of Compliance, Physician office25D0710144
- Center for Violence Prevention, theCertificate of Waiver, Other practitioner25D2160835
- Central Mississippi Correctional FacilityCertificate of Compliance, Prison25D0927282
- Family First HealthcareCertificate of Waiver, Physician office25D2274610
- Family Health Care ClinicCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center25D0885819
- Healthplus Pharmacy & WellnessCertificate of Waiver, Pharmacy25D2091543
- Kids First Pediatric & Adult Medicine LLCCertificate of Waiver, Other practitioner25D2258078
- Mea Medical Clinic PearlCertificate of Compliance, Physician office25D0318207
- Medscreens IncCertificate of Waiver, Other25D1099801
Related
Questions
What is the CLIA number for Wisteria Gardens LLC in Pearl?
25D1071084, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wisteria Gardens LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D1071084 expire?
The CMS file lists July 17, 2027 as the certificate expiration date; the certificate took effect July 18, 2025.