25D0951621 CLIA NUMBER - CITY DRUG PHARMACY AND GIFTS

Laboratory Demographics

  • CLIA Code: 25D0951621
  • Facility Name: CITY DRUG PHARMACY AND GIFTS
  • Facility Address: 113 BOBO DRIVE
    CRYSTAL SPRINGS, MS
    ZIP 39059
  • Facility Phone: 601 892-4121
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: REAGAN L. BROWN
  • NPI Number: 1225504269
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D0951621
LAB Type Pharmacy
Facility Name CITY DRUG PHARMACY AND GIFTS
Street 113 BOBO DRIVE
City CRYSTAL SPRINGS
State MS
ZIP 39059
Phone 601 892-4121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type Pharmacy
Lab Director REAGAN L. BROWN

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