CLIA lab
CLIA 25D2214582: Physician Direct Internal Medicine, PLLC
Ridgeland, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2214582 belongs to Physician Direct Internal Medicine, PLLC in Ridgeland, MS.
Certificate of Waiver, effective February 23, 2025, expires February 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
- February 23, 2025
- Certificate expiration
- February 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 23, 2021
- 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
- 25D2214582
- Lab name
- Physician Direct Internal Medicine, PLLC
- Address
- 730 Avignon Drive, Suite 101, Ridgeland, MS 39157
- Phone
- (601) 476-5030
- Fax
- (601) 476-2897
Annual test volume the lab reported
- Waived tests
- 40
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 Physician Direct Internal Medicine, PLLC in Ridgeland?
25D2214582, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Physician Direct Internal Medicine, PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2214582 expire?
The CMS file lists February 22, 2027 as the certificate expiration date; the certificate took effect February 23, 2025.