CLIA lab

CLIA 25D2037829: Walgreens #10430

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

CLIA number 25D2037829 belongs to Walgreens #10430 in Petal, MS.

Certificate of Waiver, effective April 13, 2025, expires April 12, 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
April 13, 2025
Certificate expiration
April 12, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 7, 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
25D2037829
Lab name
Walgreens #10430
Address
103 West Central Avenue, Petal, MS 39465
Phone
(601) 554-3236
Fax
(601) 554-9781

Annual test volume the lab reported

Waived tests
400

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

Other labs in Petal, MS

Related

Questions

What is the CLIA number for Walgreens #10430 in Petal?

25D2037829, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens #10430 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 25D2037829 expire?

The CMS file lists April 12, 2027 as the certificate expiration date; the certificate took effect April 13, 2025.

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