CLIA lab

CLIA 25D2328355: Kdmc Pain Clinic

Brookhaven, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 25D2328355 belongs to Kdmc Pain Clinic in Brookhaven, MS.

Certificate of Waiver, effective August 7, 2025, expires August 6, 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 7, 2025
Certificate expiration
August 6, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 7, 2025
Facility type
Physician office
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
25D2328355
Lab name
Kdmc Pain Clinic
Address
1024 Big Lane Drive Ste A, Brookhaven, MS 39601
Phone
(601) 835-9480

Annual test volume the lab reported

Waived tests
500

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 Kdmc Pain Clinic in Brookhaven?

25D2328355, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kdmc Pain Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 25D2328355 expire?

The CMS file lists August 6, 2027 as the certificate expiration date; the certificate took effect August 7, 2025.

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