25D2011299 CLIA NUMBER - WALGREENS #02676

Laboratory Demographics

  • CLIA Code: 25D2011299
  • Facility Name: WALGREENS #02676
  • Facility Address: 1728 HIGHWAY 45 N
    COLUMBUS, MS
    ZIP 39705
  • Facility Phone: 662 328-0747
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FRANK E. SMITH
  • NPI Number: 1811902075
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D2011299
LAB Type Pharmacy
Facility Name WALGREENS #02676
Street 1728 HIGHWAY 45 N
City COLUMBUS
State MS
ZIP 39705
Phone 662 328-0747
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2025
Certificate Expiration Date 8/17/2027
Facility Type Pharmacy
Lab Director FRANK E. SMITH

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