25D2029488 CLIA NUMBER - WALGREENS #10835

Laboratory Demographics

  • CLIA Code: 25D2029488
  • Facility Name: WALGREENS #10835
  • Facility Address: 906 MARION AVE
    MCCOMB, MS
    ZIP 39648
  • Facility Phone: 601 684-7979
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRAD D. HOLMES
  • NPI Number: 1831612837
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D2029488
LAB Type Pharmacy
Facility Name WALGREENS #10835
Street 906 MARION AVE
City MCCOMB
State MS
ZIP 39648
Phone 601 684-7979
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2025
Certificate Expiration Date 8/17/2027
Facility Type Pharmacy
Lab Director BRAD D. HOLMES

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