CLIA lab

CLIA 45D2021967: Walgreens #07638

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

CLIA number 45D2021967 belongs to Walgreens #07638 in Jasper, TX.

Certificate of Waiver, effective May 12, 2025, expires May 11, 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
May 12, 2025
Certificate expiration
May 11, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 23, 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
45D2021967
Lab name
Walgreens #07638
Address
1250 S Wheeler St, Jasper, TX 75951
Phone
(409) 381-8396
Fax
(409) 384-7480

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.

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Questions

What is the CLIA number for Walgreens #07638 in Jasper?

45D2021967, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens #07638 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 45D2021967 expire?

The CMS file lists May 11, 2027 as the certificate expiration date; the certificate took effect May 12, 2025.

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