25D2038335 CLIA NUMBER - WALGREENS #12750

Laboratory Demographics

  • CLIA Code: 25D2038335
  • Facility Name: WALGREENS #12750
  • Facility Address: 805 HWY 278 E
    AMORY, MS
    ZIP 38821
  • Facility Phone: 662 256-9603
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BAILEY SANDERS
  • NPI Number: 1891915054
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D2038335
LAB Type Pharmacy
Facility Name WALGREENS #12750
Street 805 HWY 278 E
City AMORY
State MS
ZIP 38821
Phone 662 256-9603
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2025
Certificate Expiration Date 4/1/2027
Facility Type Pharmacy
Lab Director BAILEY SANDERS

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