25D2037844 CLIA NUMBER - WALGREENS #10694

Laboratory Demographics

  • CLIA Code: 25D2037844
  • Facility Name: WALGREENS #10694
  • Facility Address: 5780 TERRY ROAD
    BYRAM, MS
    ZIP 39272
  • Facility Phone: 601 346-2553
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CASSIDY L. BARNETT
  • NPI Number: 1689850968
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D2037844
LAB Type Pharmacy
Facility Name WALGREENS #10694
Street 5780 TERRY ROAD
City BYRAM
State MS
ZIP 39272
Phone 601 346-2553
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Pharmacy
Lab Director CASSIDY L. BARNETT

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