CLIA lab

CLIA 25D2013341: Walgreens #12822

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

CLIA number 25D2013341 belongs to Walgreens #12822 in Brandon, MS.

Certificate of Waiver, effective June 16, 2025, expires June 15, 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
June 16, 2025
Certificate expiration
June 15, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 17, 2010
Facility type
Pharmacy
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
25D2013341
Lab name
Walgreens #12822
Address
1790 W Government Street, Brandon, MS 39042
Phone
(601) 825-3473
Fax
(601) 825-5909

Annual test volume the lab reported

Waived tests
12,775

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 Walgreens #12822 in Brandon?

25D2013341, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens #12822 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 25D2013341 expire?

The CMS file lists June 15, 2027 as the certificate expiration date; the certificate took effect June 16, 2025.

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