25D0030309 CLIA NUMBER - MEDICAL CENTER PHARMACY

Laboratory Demographics

  • CLIA Code: 25D0030309
  • Facility Name: MEDICAL CENTER PHARMACY
  • Facility Address: 312 MARION AVE
    MCCOMB, MS
    ZIP 39648
  • Facility Phone: 601 684-9602
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOE K. GUY
  • NPI Number: 1558383067
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D0030309
LAB Type Pharmacy
Facility Name MEDICAL CENTER PHARMACY
Street 312 MARION AVE
City MCCOMB
State MS
ZIP 39648
Phone 601 684-9602
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Pharmacy
Lab Director JOE K. GUY

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This page was last updated on: 9/29/2025