25D2038333 CLIA NUMBER - WALGREENS #10273

Laboratory Demographics

  • CLIA Code: 25D2038333
  • Facility Name: WALGREENS #10273
  • Facility Address: 2209 HIGHWAY 11 NORTH
    PICAYUNE, MS
    ZIP 39466
  • Facility Phone: 601 799-2087
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHERRI T. WILKINSON
  • NPI Number: 1841205085
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D2038333
LAB Type Pharmacy
Facility Name WALGREENS #10273
Street 2209 HIGHWAY 11 NORTH
City PICAYUNE
State MS
ZIP 39466
Phone 601 799-2087
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Pharmacy
Lab Director SHERRI T. WILKINSON

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