25D0951321 CLIA NUMBER - RX EXPRESS PHARMACY

Laboratory Demographics

  • CLIA Code: 25D0951321
  • Facility Name: RX EXPRESS PHARMACY
  • Facility Address: 2952 MARKET STREET
    PASCAGOULA, MS
    ZIP 39567
  • Facility Phone: 228 762-5664
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SCOTT S. HOLSTON
  • NPI Number: 1164497475
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D0951321
LAB Type Pharmacy
Facility Name RX EXPRESS PHARMACY
Street 2952 MARKET STREET
City PASCAGOULA
State MS
ZIP 39567
Phone 228 762-5664
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2024
Certificate Expiration Date 9/15/2026
Facility Type Pharmacy
Lab Director SCOTT S. HOLSTON

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