CLIA lab
CLIA 25D2172355: Revitalize Hydration Therapy
Flowood, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2172355 belongs to Revitalize Hydration Therapy in Flowood, MS.
Certificate of Waiver, effective September 23, 2025, expires September 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
- September 23, 2025
- Certificate expiration
- September 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 23, 2019
- Facility type
- Other practitioner
- 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
- 25D2172355
- Lab name
- Revitalize Hydration Therapy
- Address
- 885 Liberty Rd, Suite 300, Flowood, MS 39232
- Phone
- (601) 213-0069
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Flowood, MS
- Advanced Vascular & Vein Associates LLCCertificate of Waiver, Physician office25D2250603
- Any Lab Test NowCertificate of Waiver, Other25D2272172
- BNB Healthcare DBA Vitalcaring GroupCertificate of Waiver, Home health agency25D2070460
- Baptist Medical Group - Dogwood Primary CareCertificate of Compliance, Physician office25D1051743
- Belle Meade Medical ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office25D1044131
- Blake at Flowood, theCertificate of Waiver, Assisted living facility25D2171654
- Blue Cross & Blue Shield of Mississippi Mobile CliCertificate of Waiver, Mobile lab25D2238215
- Brentwood Behavioral Healthcare of MSCertificate of Waiver, Hospital25D0966550
- Camellia Hospice of Central Mississippi LLC DBACertificate of Waiver, Hospice25D1042522
- Capital OrthoCertificate of Waiver, Physician office25D1035706
Related
Questions
What is the CLIA number for Revitalize Hydration Therapy in Flowood?
25D2172355, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Revitalize Hydration Therapy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2172355 expire?
The CMS file lists September 22, 2027 as the certificate expiration date; the certificate took effect September 23, 2025.