CLIA lab

CLIA 25D2072196: North Gulfport Home Program, LLC

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

CLIA number 25D2072196 belongs to North Gulfport Home Program, LLC in Gulfport, MS.

Certificate of Waiver, effective January 27, 2026, expires January 26, 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

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Waiver
Certificate effective
January 27, 2026
Certificate expiration
January 26, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 27, 2014
Facility type
End stage renal disease dialysis 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
25D2072196
Lab name
North Gulfport Home Program, LLC
Address
3301 25th Avenue, Gulfport, MS 39501
Phone
(228) 436-9819
Fax
(228) 432-1744

Annual test volume the lab reported

Waived tests
350

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

Care facility at this address

Other labs in Gulfport, MS

Related

Questions

What is the CLIA number for North Gulfport Home Program, LLC in Gulfport?

25D2072196, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does North Gulfport Home Program, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 25D2072196 expire?

The CMS file lists January 26, 2028 as the certificate expiration date; the certificate took effect January 27, 2026.

Try it on your own data today.

Free to start. Most teams are using it the same day.