25D2024132 CLIA NUMBER - WALGREENS #07656

Laboratory Demographics

  • CLIA Code: 25D2024132
  • Facility Name: WALGREENS #07656
  • Facility Address: 1199 HWY 49 S
    RICHLAND, MS
    ZIP 39218
  • Facility Phone: 601 932-3818
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE M. WINN
  • NPI Number: 1023023264
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D2024132
LAB Type Pharmacy
Facility Name WALGREENS #07656
Street 1199 HWY 49 S
City RICHLAND
State MS
ZIP 39218
Phone 601 932-3818
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Pharmacy
Lab Director MICHELLE M. WINN

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