CLIA lab
CLIA 25D2020511: Walgreens #15485
Jackson, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2020511 belongs to Walgreens #15485 in Jackson, MS.
Certificate of Waiver, effective March 26, 2025, expires March 25, 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
- March 26, 2025
- Certificate expiration
- March 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 22, 2011
- 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
- 25D2020511
- Lab name
- Walgreens #15485
- Address
- 1583 E County Line Road, Jackson, MS 39211
- Phone
- (601) 952-2979
- Fax
- (601) 952-0192
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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- A Terrel Williams MD/ Denise E Phillips MDCertificate of Waiver, Physician office25D2053388
- Aaa Jackson Drug and Alcohol Testing LLCCertificate of Waiver, Other practitioner25D2048545
- Abundant Living Community Organizations, IncCertificate of Waiver, Health fair25D2341080
- Aids Healthcare FoundationCertificate of Waiver, Physician office25D2050092
- Alcohol Services CenterCertificate of Waiver, Comprehensive outpatient rehab facility25D2164632
- Alyce G Clarke Center for Medically FragileCertificate of Compliance, Skilled nursing or nursing facility25D2332133
- American Medical Response IncCertificate of Waiver, Ambulance25D0719445
- Associated Pathologists, LLCCertificate of Accreditation, Independent25D2303755
Related
Questions
What is the CLIA number for Walgreens #15485 in Jackson?
25D2020511, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens #15485 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2020511 expire?
The CMS file lists March 25, 2027 as the certificate expiration date; the certificate took effect March 26, 2025.