CLIA lab
CLIA 25D2278633: Pine Belt Dermatology Dermpath Lab
Petal, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2278633 belongs to Pine Belt Dermatology Dermpath Lab in Petal, MS.
Certificate of Compliance, effective November 20, 2025, expires November 19, 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 Compliance
- Certificate effective
- November 20, 2025
- Certificate expiration
- November 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 21, 2023
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 25D2278633
- Lab name
- Pine Belt Dermatology Dermpath Lab
- Address
- 103 Ford Dr Ste B, Petal, MS 39465
- Phone
- (601) 336-5626
- Fax
- (601) 336-7826
Annual test volume the lab reported
- Other nonwaived tests
- 45
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
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 and Skin Cancer CenterCertificate of Waiver, Physician office25D2083928
- South Mississippi Pharmacists Inc DBA Park PlaceCertificate of Waiver, Pharmacy25D2235815
Related
Questions
What is the CLIA number for Pine Belt Dermatology Dermpath Lab in Petal?
25D2278633, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pine Belt Dermatology Dermpath Lab hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 25D2278633 expire?
The CMS file lists November 19, 2027 as the certificate expiration date; the certificate took effect November 20, 2025.