CLIA lab
CLIA 25D2232943: Fairy Wings Mobile Phlebotomy Service LLC
Gulfport, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2232943 belongs to Fairy Wings Mobile Phlebotomy Service LLC in Gulfport, MS.
Certificate of Waiver, effective August 18, 2025, expires August 17, 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
- August 18, 2025
- Certificate expiration
- August 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 18, 2021
- Facility type
- Mobile lab
- 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
- 25D2232943
- Lab name
- Fairy Wings Mobile Phlebotomy Service LLC
- Address
- 13873 Lorado Dr Unit 178, Gulfport, MS 39503
- Phone
- (228) 224-1685
- Fax
- (228) 284-5724
Annual test volume the lab reported
- Waived tests
- 100
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 Fairy Wings Mobile Phlebotomy Service LLC in Gulfport?
25D2232943, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fairy Wings Mobile Phlebotomy Service LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2232943 expire?
The CMS file lists August 17, 2027 as the certificate expiration date; the certificate took effect August 18, 2025.