CLIA lab
CLIA 25D2235815: South Mississippi Pharmacists Inc DBA Park Place
Petal, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2235815 belongs to South Mississippi Pharmacists Inc DBA Park Place in Petal, MS.
Certificate of Waiver, effective September 13, 2025, expires September 12, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 13, 2025
- Certificate expiration
- September 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 13, 2021
- Facility type
- Pharmacy
- 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
- 25D2235815
- Lab name
- South Mississippi Pharmacists Inc DBA Park Place
- Additional name
- Pharmacy
- Address
- 46 Parkway Lane, Petal, MS 39465
- Phone
- (601) 450-3673
- Fax
- (888) 959-2285
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Petal, MS
- Bedford Care Center of Petal, LLCCertificate of Waiver, Skilled nursing or nursing facility25D0319216
- Children's Clinic - Petal, theCertificate of Compliance, Physician office25D2083016
- Hattiesburg Clinic Clinical ResearchCertificate of Waiver, Other25D2072189
- Mid-South Direct Primary CareCertificate of Waiver, Physician office25D2254328
- Petal Family PracticeCertificate of Compliance, Physician office25D0319220
- Petal Immediate CareCertificate of Compliance, Physician office25D2312803
- Petal School ClinicCertificate for Provider-Performed Microscopy Procedures, School or student health service25D2072433
- Petal Urgent Care ClinicCertificate of Waiver, Other25D2019409
- Pine Belt Dermatology Dermpath LabCertificate of Compliance, Physician office25D2278633
- Pine Belt Dermatology and Skin Cancer CenterCertificate of Waiver, Physician office25D2083928
Related
Questions
What is the CLIA number for South Mississippi Pharmacists Inc DBA Park Place in Petal?
25D2235815, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does South Mississippi Pharmacists Inc DBA Park Place hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2235815 expire?
The CMS file lists September 12, 2027 as the certificate expiration date; the certificate took effect September 13, 2025.