CLIA lab

CLIA 25D2014165: Walgreens #07130

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

CLIA number 25D2014165 belongs to Walgreens #07130 in Olive Branch, MS.

Certificate of Waiver, effective February 22, 2025, expires February 21, 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
February 22, 2025
Certificate expiration
February 21, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 1, 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
25D2014165
Lab name
Walgreens #07130
Address
6958 Goodman Road, Olive Branch, MS 38654
Phone
(662) 890-5047
Fax
(662) 890-5058

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 #07130 in Olive Branch?

25D2014165, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens #07130 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 25D2014165 expire?

The CMS file lists February 21, 2027 as the certificate expiration date; the certificate took effect February 22, 2025.

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