CLIA lab
CLIA 25D2170978: Ummc - Louisville Dermatology - Main Street
Louisville, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2170978 belongs to Ummc - Louisville Dermatology - Main Street in Louisville, MS.
Certificate for Provider-Performed Microscopy Procedures, effective August 22, 2025, expires August 21, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- August 22, 2025
- Certificate expiration
- August 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 22, 2019
- Facility type
- Physician office
- Ownership (control type)
- Government, state
- 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
- 25D2170978
- Lab name
- Ummc - Louisville Dermatology - Main Street
- Address
- 17280 East Main St, Louisville, MS 39339
- Phone
- (601) 815-2060
- Fax
- (601) 815-2064
Annual test volume the lab reported
- Waived tests
- 500
- Provider-performed microscopy tests
- 500
- Total
- 1,000
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 Ummc - Louisville Dermatology - Main Street in Louisville?
25D2170978, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ummc - Louisville Dermatology - Main Street hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 25D2170978 expire?
The CMS file lists August 21, 2027 as the certificate expiration date; the certificate took effect August 22, 2025.