CLIA lab
CLIA 25D2149426: Hattiesburg Clinic - South 28th Avenue
Hattiesburg, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2149426 belongs to Hattiesburg Clinic - South 28th Avenue in Hattiesburg, MS.
Certificate of Compliance, effective October 18, 2026, expires October 17, 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 Compliance
- Certificate effective
- October 18, 2026
- Certificate expiration
- October 17, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 5, 2018
- 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
- 25D2149426
- Lab name
- Hattiesburg Clinic - South 28th Avenue
- Address
- 1101 South 28th Avenue, Hattiesburg, MS 39401
- Phone
- (601) 296-2980
Annual test volume the lab reported
- Waived tests
- 1,000
- Other nonwaived tests
- 3,849
- Total
- 4,849
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 Hattiesburg Clinic - South 28th Avenue in Hattiesburg?
25D2149426, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hattiesburg Clinic - South 28th Avenue hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 25D2149426 expire?
The CMS file lists October 17, 2028 as the certificate expiration date; the certificate took effect October 18, 2026.