CLIA lab

CLIA 25D2035645: Walgreens #06754

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

CLIA number 25D2035645 belongs to Walgreens #06754 in Horn Lake, MS.

Certificate of Waiver, effective October 27, 2025, expires October 26, 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
October 27, 2025
Certificate expiration
October 26, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 23, 2012
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
25D2035645
Lab name
Walgreens #06754
Address
4028 Goodman Rd W, Horn Lake, MS 38637
Phone
(662) 393-3477
Fax
(662) 393-3214

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.

Other labs in Horn Lake, MS

Related

Questions

What is the CLIA number for Walgreens #06754 in Horn Lake?

25D2035645, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens #06754 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 25D2035645 expire?

The CMS file lists October 26, 2027 as the certificate expiration date; the certificate took effect October 27, 2025.

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