25D0922166 CLIA NUMBER - PICAYUNE DRUG CO, INC

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CLIA Record

Field Name Field Value
CLIA Number 25D0922166
LAB Type Pharmacy
Facility Name PICAYUNE DRUG CO, INC
Street 110 HIGHWAY 11, NORTH
City PICAYUNE
State MS
ZIP 39466
Phone 601 798-4846
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Pharmacy
Lab Director ANDREW L. FAILLA

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