25D2037838 CLIA NUMBER - WALGREENS #03918

Laboratory Demographics

  • CLIA Code: 25D2037838
  • Facility Name: WALGREENS #03918
  • Facility Address: 3189 HWY 80 E
    PEARL, MS
    ZIP 39208
  • Facility Phone: 601 664-0641
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DESTINY GREAR
  • NPI Number: 1376558536
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D2037838
LAB Type Pharmacy
Facility Name WALGREENS #03918
Street 3189 HWY 80 E
City PEARL
State MS
ZIP 39208
Phone 601 664-0641
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2025
Certificate Expiration Date 3/15/2027
Facility Type Pharmacy
Lab Director DESTINY GREAR

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