25D2013339 CLIA NUMBER - WALGREENS #07757

Laboratory Demographics

  • CLIA Code: 25D2013339
  • Facility Name: WALGREENS #07757
  • Facility Address: 1808 UNIVERSITY AVE
    OXFORD, MS
    ZIP 38655
  • Facility Phone: 662 513-0894
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANGELA K. KLEPZIG
  • NPI Number: 1902811169
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D2013339
LAB Type Pharmacy
Facility Name WALGREENS #07757
Street 1808 UNIVERSITY AVE
City OXFORD
State MS
ZIP 38655
Phone 662 513-0894
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2025
Certificate Expiration Date 5/6/2027
Facility Type Pharmacy
Lab Director ANGELA K. KLEPZIG

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