CLIA lab
CLIA 25D2150882: Family Medicine Residency Clinic
Hattiesburg, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2150882 belongs to Family Medicine Residency Clinic in Hattiesburg, MS.
Certificate of Waiver, effective July 6, 2026, expires July 5, 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
- July 6, 2026
- Certificate expiration
- July 5, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 6, 2018
- Facility type
- Physician office
- Ownership (control type)
- Government, county
- 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
- 25D2150882
- Lab name
- Family Medicine Residency Clinic
- Address
- 415 S 28th Avenue, Hattiesburg, MS 39401
- Phone
- (601) 579-3300
- Fax
- (601) 268-5738
Annual test volume the lab reported
- Waived tests
- 12,000
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 Family Medicine Residency Clinic in Hattiesburg?
25D2150882, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Family Medicine Residency Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2150882 expire?
The CMS file lists July 5, 2028 as the certificate expiration date; the certificate took effect July 6, 2026.