CLIA lab

CLIA 25D0316484: Primary Care Group, LLC

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

CLIA number 25D0316484 belongs to Primary Care Group, LLC in Olive Branch, MS.

Certificate of Waiver, effective August 25, 2026, expires August 24, 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
August 25, 2026
Certificate expiration
August 24, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 12, 1994
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
25D0316484
Lab name
Primary Care Group, LLC
Address
5480 Goodman Road, Suite 1, Olive Branch, MS 38654
Phone
(901) 516-0881
Fax
(901) 516-0954

Annual test volume the lab reported

Waived tests
6,870

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Olive Branch, MS

Related

Questions

What is the CLIA number for Primary Care Group, LLC in Olive Branch?

25D0316484, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Primary Care Group, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 25D0316484 expire?

The CMS file lists August 24, 2028 as the certificate expiration date; the certificate took effect August 25, 2026.

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