25D0942356 CLIA NUMBER - FUNDERBURK'S PHARMACY

Laboratory Demographics

  • CLIA Code: 25D0942356
  • Facility Name: FUNDERBURK'S PHARMACY
  • Facility Address: 134 WEST COMMERCE
    HERNANDO, MS
    ZIP 38632
  • Facility Phone: 601 429-5337
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHERYL M. SUDDUTH
  • NPI Number: 1922630797
  • Taxonomy: 3336L0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 25D0942356
LAB Type Pharmacy
Facility Name FUNDERBURK'S PHARMACY
Street 134 WEST COMMERCE
City HERNANDO
State MS
ZIP 38632
Phone 601 429-5337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2024
Certificate Expiration Date 3/9/2026
Facility Type Pharmacy
Lab Director CHERYL M. SUDDUTH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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