CLIA lab

CLIA 25D2019532: Memorial Physician Clinic at Walmart Plaza

Gulfport, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 25D2019532 belongs to Memorial Physician Clinic at Walmart Plaza in Gulfport, MS.

Certificate of Waiver, effective February 1, 2025, expires January 31, 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
February 1, 2025
Certificate expiration
January 31, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 1, 2011
Facility type
Physician office
Ownership (control type)
Government, other
Lab classification
CLIA laboratory
Directly affiliated labs
6

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
25D2019532
Lab name
Memorial Physician Clinic at Walmart Plaza
Address
9350A Highway 49, Gulfport, MS 39503
Phone
(228) 575-2300
Fax
(228) 865-3325

Annual test volume the lab reported

Waived tests
5,500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Gulfport, MS

Related

Questions

What is the CLIA number for Memorial Physician Clinic at Walmart Plaza in Gulfport?

25D2019532, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Memorial Physician Clinic at Walmart Plaza hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 25D2019532 expire?

The CMS file lists January 31, 2027 as the certificate expiration date; the certificate took effect February 1, 2025.

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