CLIA lab
CLIA 25D2253549: Medi-Lab Diagnostic Center LLC
Gulfport, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2253549 belongs to Medi-Lab Diagnostic Center LLC in Gulfport, MS.
Certificate of Waiver, effective February 22, 2026, expires February 21, 2028.
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 22, 2026
- Certificate expiration
- February 21, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 22, 2022
- Facility type
- Other
- 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
- 25D2253549
- Lab name
- Medi-Lab Diagnostic Center LLC
- Address
- 1617 25th Avenue, Office 105, Gulfport, MS 39503
- Phone
- (804) 896-6177
- Fax
- (804) 451-4739
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Benefield Eye Care, PCCertificate of Waiver, Physician office25D2068661
- Bienville Orthopaedic SpecialistsCertificate of Waiver, Physician office25D2026602
- Bridgewater PsychiatryCertificate of Waiver, Physician office25D2129893
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Related
Questions
What is the CLIA number for Medi-Lab Diagnostic Center LLC in Gulfport?
25D2253549, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Medi-Lab Diagnostic Center LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2253549 expire?
The CMS file lists February 21, 2028 as the certificate expiration date; the certificate took effect February 22, 2026.