CLIA lab
CLIA 25D2019409: Petal Urgent Care Clinic
Petal, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2019409 belongs to Petal Urgent Care Clinic in Petal, MS.
Certificate of Waiver, effective January 28, 2025, expires January 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 Waiver
- Certificate effective
- January 28, 2025
- Certificate expiration
- January 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 28, 2011
- Facility type
- Other
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 25D2019409
- Lab name
- Petal Urgent Care Clinic
- Address
- 1272 Evelyn Gandy Parkway Ste 60, Petal, MS 39465
- Phone
- (601) 336-5393
- Fax
- (601) 602-4681
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
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 Family PracticeCertificate of Compliance, Physician office25D0319220
- Petal Immediate CareCertificate of Compliance, Physician office25D2312803
- Petal School ClinicCertificate for Provider-Performed Microscopy Procedures, School or student health service25D2072433
- 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 Urgent Care Clinic in Petal?
25D2019409, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Petal Urgent Care Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2019409 expire?
The CMS file lists January 27, 2027 as the certificate expiration date; the certificate took effect January 28, 2025.