25D2029481 CLIA NUMBER - WALGREENS #12537

Laboratory Demographics

  • CLIA Code: 25D2029481
  • Facility Name: WALGREENS #12537
  • Facility Address: 4910 POPLAR SPRINGS DR
    MERIDIAN, MS
    ZIP 39305
  • Facility Phone: 601 483-3997
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL C. HODGE
  • NPI Number: 1417192766
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D2029481
LAB Type Pharmacy
Facility Name WALGREENS #12537
Street 4910 POPLAR SPRINGS DR
City MERIDIAN
State MS
ZIP 39305
Phone 601 483-3997
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2025
Certificate Expiration Date 9/27/2027
Facility Type Pharmacy
Lab Director MICHAEL C. HODGE

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