CLIA lab
CLIA 25D1104969: Bethany R Hairston MD PLLC DBA Vitality Dermatolog
Columbus, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D1104969 belongs to Bethany R Hairston MD PLLC DBA Vitality Dermatolog in Columbus, MS.
Certificate of Compliance, effective January 26, 2026, expires January 25, 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 Compliance
- Certificate effective
- January 26, 2026
- Certificate expiration
- January 25, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 14, 2009
- 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
- 25D1104969
- Lab name
- Bethany R Hairston MD PLLC DBA Vitality Dermatolog
- Address
- 724 Leigh Drive, Columbus, MS 39705
- Phone
- (662) 328-3375
- Fax
- (662) 328-3395
Annual test volume the lab reported
- Waived tests
- 200
- Provider-performed microscopy tests
- 200
- Other nonwaived tests
- 489
- Total
- 889
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 Bethany R Hairston MD PLLC DBA Vitality Dermatolog in Columbus?
25D1104969, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bethany R Hairston MD PLLC DBA Vitality Dermatolog hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 25D1104969 expire?
The CMS file lists January 25, 2028 as the certificate expiration date; the certificate took effect January 26, 2026.