CLIA lab
CLIA 25D2083928: Pine Belt Dermatology and Skin Cancer Center
Petal, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2083928 belongs to Pine Belt Dermatology and Skin Cancer Center in Petal, MS.
Certificate of Waiver, effective February 17, 2026, expires February 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
- February 17, 2026
- Certificate expiration
- February 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 16, 2014
- Facility type
- Physician office
- 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
- 25D2083928
- Lab name
- Pine Belt Dermatology and Skin Cancer Center
- Address
- 201 S Main Street, Petal, MS 39465
- Phone
- (601) 336-5626
- Fax
- (601) 336-7826
Annual test volume the lab reported
- Waived tests
- 100
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
- Petal Urgent Care ClinicCertificate of Waiver, Other25D2019409
- Pine Belt Dermatology Dermpath LabCertificate of Compliance, Physician office25D2278633
- South Mississippi Pharmacists Inc DBA Park PlaceCertificate of Waiver, Pharmacy25D2235815
Related
Questions
What is the CLIA number for Pine Belt Dermatology and Skin Cancer Center in Petal?
25D2083928, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pine Belt Dermatology and Skin Cancer Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2083928 expire?
The CMS file lists February 16, 2028 as the certificate expiration date; the certificate took effect February 17, 2026.