CLIA lab
CLIA 25D2312803: Petal Immediate Care
Petal, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2312803 belongs to Petal Immediate Care in Petal, MS.
Certificate of Compliance, effective February 4, 2025, expires February 3, 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 Compliance
- Certificate effective
- February 4, 2025
- Certificate expiration
- February 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 18, 2024
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 25D2312803
- Lab name
- Petal Immediate Care
- Address
- 50 Parkway Lane Suite 100, Petal, MS 39465
- Phone
- (601) 544-7404
- Fax
- (601) 584-6457
Annual test volume the lab reported
- Waived tests
- 500
- Other nonwaived tests
- 3,589
- Total
- 4,089
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 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
- South Mississippi Pharmacists Inc DBA Park PlaceCertificate of Waiver, Pharmacy25D2235815
Related
Questions
What is the CLIA number for Petal Immediate Care in Petal?
25D2312803, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Petal Immediate Care hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 25D2312803 expire?
The CMS file lists February 3, 2027 as the certificate expiration date; the certificate took effect February 4, 2025.