CLIA lab

CLIA 45D2249100: Albertsons Pharmacy #4112

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

CLIA number 45D2249100 belongs to Albertsons Pharmacy #4112 in Longview, TX.

Certificate of Waiver, effective January 19, 2026, expires January 18, 2028.

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
January 19, 2026
Certificate expiration
January 18, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 19, 2022
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
45D2249100
Lab name
Albertsons Pharmacy #4112
Address
3603 Mccann Rd, Longview, TX 75605
Phone
(903) 663-2056
Fax
(903) 663-6791

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.

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Questions

What is the CLIA number for Albertsons Pharmacy #4112 in Longview?

45D2249100, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Albertsons Pharmacy #4112 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 45D2249100 expire?

The CMS file lists January 18, 2028 as the certificate expiration date; the certificate took effect January 19, 2026.

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