CLIA lab
CLIA 25D2128189: Lifeguard Ambulance Service LLC
Purvis, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2128189 belongs to Lifeguard Ambulance Service LLC in Purvis, MS.
Certificate of Waiver, effective March 27, 2025, expires March 26, 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
- March 27, 2025
- Certificate expiration
- March 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 27, 2017
- Facility type
- Ambulance
- 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
- 25D2128189
- Lab name
- Lifeguard Ambulance Service LLC
- Address
- 630 Purvis Oloh Rd, Attn Dwayne Tullos, Purvis, MS 39475
- Phone
- (850) 983-3000
- Fax
- (850) 365-0169
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.
Other labs in Purvis, MS
- Edl Medical, LLCCertificate of Accreditation, Independent25D2094324
- Family Clinic of PurvisCertificate of Compliance, Physician office25D0692132
- Johnson Diagnostic Services LLCCertificate of Waiver, Other25D2328565
- Lamar County Detention CenterCertificate of Waiver, Prison25D2195229
- Lamar County School ClinicCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center25D2270546
- Lamar County School DistrictCertificate of Waiver, School or student health service25D2090989
- Purvis Family Practice ClinicCertificate of Compliance, Physician office25D0319289
- South MS State Hospital - Patient Services BldgCertificate of Waiver, Other25D0974140
- Wesley Physician Services, LLCCertificate of Waiver, Physician office25D2105928
Related
Questions
What is the CLIA number for Lifeguard Ambulance Service LLC in Purvis?
25D2128189, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lifeguard Ambulance Service LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2128189 expire?
The CMS file lists March 26, 2027 as the certificate expiration date; the certificate took effect March 27, 2025.