25D2029480 CLIA NUMBER - WALGREENS #09144

Laboratory Demographics

  • CLIA Code: 25D2029480
  • Facility Name: WALGREENS #09144
  • Facility Address: 747 HIGHWAY 1 S
    GREENVILLE, MS
    ZIP 38701
  • Facility Phone: 662 335-1429
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TERRY L. FRANKLIN
  • NPI Number: 1366457525
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D2029480
LAB Type Pharmacy
Facility Name WALGREENS #09144
Street 747 HIGHWAY 1 S
City GREENVILLE
State MS
ZIP 38701
Phone 662 335-1429
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Pharmacy
Lab Director TERRY L. FRANKLIN

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