25D2029482 CLIA NUMBER - WALGREENS #10131

Laboratory Demographics

  • CLIA Code: 25D2029482
  • Facility Name: WALGREENS #10131
  • Facility Address: 303 DEVEREAUX DR
    NATCHEZ, MS
    ZIP 39120
  • Facility Phone: 601 446-5810
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RITA WINN
  • NPI Number: 1780797639
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D2029482
LAB Type Pharmacy
Facility Name WALGREENS #10131
Street 303 DEVEREAUX DR
City NATCHEZ
State MS
ZIP 39120
Phone 601 446-5810
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2025
Certificate Expiration Date 4/8/2027
Facility Type Pharmacy
Lab Director RITA WINN

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