25D2037887 CLIA NUMBER - WALGREENS #01913

Laboratory Demographics

  • CLIA Code: 25D2037887
  • Facility Name: WALGREENS #01913
  • Facility Address: 2026 HWY 72 E
    CORINTH, MS
    ZIP 38834
  • Facility Phone: 662 287-4066
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN CRUM
  • NPI Number: 1720093982
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D2037887
LAB Type Pharmacy
Facility Name WALGREENS #01913
Street 2026 HWY 72 E
City CORINTH
State MS
ZIP 38834
Phone 662 287-4066
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2024
Certificate Expiration Date 3/22/2026
Facility Type Pharmacy
Lab Director SUSAN CRUM

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