CLIA lab
CLIA 25D2124644: Gulf Coast Pediatric Care Pascagoula LLC
Pascagoula, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2124644 belongs to Gulf Coast Pediatric Care Pascagoula LLC in Pascagoula, MS.
Certificate of Waiver, effective January 23, 2025, expires January 22, 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
- January 23, 2025
- Certificate expiration
- January 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 23, 2017
- Facility type
- Other
- 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
- 25D2124644
- Lab name
- Gulf Coast Pediatric Care Pascagoula LLC
- Address
- 2025 Jackson Ave, Pascagoula, MS 39567
- Phone
- (251) 232-1518
- Fax
- (228) 206-0704
Annual test volume the lab reported
- Waived tests
- 50
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 Gulf Coast Pediatric Care Pascagoula LLC in Pascagoula?
25D2124644, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Gulf Coast Pediatric Care Pascagoula LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2124644 expire?
The CMS file lists January 22, 2027 as the certificate expiration date; the certificate took effect January 23, 2025.