CLIA lab
CLIA 25D2075228: Internal Medicine 44th Ave
Gulfport, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2075228 belongs to Internal Medicine 44th Ave in Gulfport, MS.
Certificate of Waiver, effective March 25, 2026, expires March 24, 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 Waiver
- Certificate effective
- March 25, 2026
- Certificate expiration
- March 24, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 25, 2014
- 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
- 25D2075228
- Lab name
- Internal Medicine 44th Ave
- Address
- 1404 44th Ave, Gulfport, MS 39501
- Phone
- (228) 822-6067
- Fax
- (228) 822-6737
Annual test volume the lab reported
- Waived tests
- 75
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Armed Forces Retirement Home - GulfportCertificate of Waiver, Other25D2098502
- Beesure Testing SolutionsCertificate of Waiver, Other25D2334003
- Benefield Eye Care, PCCertificate of Waiver, Physician office25D2068661
- Bienville Orthopaedic SpecialistsCertificate of Waiver, Physician office25D2026602
- Bridgewater PsychiatryCertificate of Waiver, Physician office25D2129893
- By Health LLC DBA Kidmed Pediatric Urgent CareCertificate of Waiver, Physician office25D2311018
- CSL Plasma, IncCertificate of Compliance, Other25D2078026
- Catholic Charities of South MississippiCertificate of Waiver, Other25D0319423
Related
Questions
What is the CLIA number for Internal Medicine 44th Ave in Gulfport?
25D2075228, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Internal Medicine 44th Ave hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2075228 expire?
The CMS file lists March 24, 2028 as the certificate expiration date; the certificate took effect March 25, 2026.