CLIA lab

CLIA 45D2257736: Olive Branch Medical PLLC

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

CLIA number 45D2257736 belongs to Olive Branch Medical PLLC in Longview, TX.

Certificate of Waiver, effective April 11, 2026, expires April 10, 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
April 11, 2026
Certificate expiration
April 10, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 11, 2022
Facility type
Other practitioner
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
45D2257736
Lab name
Olive Branch Medical PLLC
Address
1011 NW Loop 281 Suite 12, Longview, TX 75604
Phone
(903) 660-7049
Fax
(903) 660-7054

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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Related

Questions

What is the CLIA number for Olive Branch Medical PLLC in Longview?

45D2257736, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Olive Branch Medical PLLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 45D2257736 expire?

The CMS file lists April 10, 2028 as the certificate expiration date; the certificate took effect April 11, 2026.

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