25D2035647 CLIA NUMBER - WALGREENS #07849

Laboratory Demographics

  • CLIA Code: 25D2035647
  • Facility Name: WALGREENS #07849
  • Facility Address: 4991 HIGHWAY 51 N
    HORN LAKE, MS
    ZIP 38637
  • Facility Phone: 662 393-8564
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DONNA S. CRAWFORD
  • NPI Number: 1942215371
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D2035647
LAB Type Pharmacy
Facility Name WALGREENS #07849
Street 4991 HIGHWAY 51 N
City HORN LAKE
State MS
ZIP 38637
Phone 662 393-8564
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Pharmacy
Lab Director DONNA S. CRAWFORD

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