CLIA lab

CLIA 25D2084576: Primary Care Group, LLC

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

CLIA number 25D2084576 belongs to Primary Care Group, LLC in Olive Branch, MS.

Certificate of Waiver, effective June 2, 2025, expires June 1, 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 2, 2025
Certificate expiration
June 1, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 25, 2014
Facility type
Physician office
Ownership (control type)
Religious affiliation
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
25D2084576
Lab name
Primary Care Group, LLC
Address
4240 Bethel Road Ste 101, Olive Branch, MS 38654
Phone
(662) 932-9544
Fax
(662) 932-9554

Annual test volume the lab reported

Waived tests
1,000

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

Other labs in Olive Branch, MS

Related

Questions

What is the CLIA number for Primary Care Group, LLC in Olive Branch?

25D2084576, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Primary Care Group, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 25D2084576 expire?

The CMS file lists June 1, 2027 as the certificate expiration date; the certificate took effect June 2, 2025.

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