CLIA lab
CLIA 25D2079439: Coumadin Clinic - Forrest General Hospital, the
Hattiesburg, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2079439 belongs to Coumadin Clinic - Forrest General Hospital, the in Hattiesburg, MS.
Certificate of Waiver, effective June 17, 2026, expires June 16, 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
- June 17, 2026
- Certificate expiration
- June 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 17, 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
- 25D2079439
- Lab name
- Coumadin Clinic - Forrest General Hospital, the
- Address
- 4 Medical Blvd, Hattiesburg, MS 39401
- Phone
- (601) 288-4193
- Fax
- (601) 288-3647
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.
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Related
Questions
What is the CLIA number for Coumadin Clinic - Forrest General Hospital, the in Hattiesburg?
25D2079439, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Coumadin Clinic - Forrest General Hospital, the hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2079439 expire?
The CMS file lists June 16, 2028 as the certificate expiration date; the certificate took effect June 17, 2026.