25D2050920 CLIA NUMBER - GUY'S PHARMACY OF BROOKHAVEN

Laboratory Demographics

  • CLIA Code: 25D2050920
  • Facility Name: GUY'S PHARMACY OF BROOKHAVEN
  • Facility Address: 1005 W CONGRESS STREET
    BROOKHAVEN, MS
    ZIP 39601
  • Facility Phone: 601 833-6333
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES G. BERCH
  • NPI Number: 1285987461
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D2050920
LAB Type Pharmacy
Facility Name GUY'S PHARMACY OF BROOKHAVEN
Street 1005 W CONGRESS STREET
City BROOKHAVEN
State MS
ZIP 39601
Phone 601 833-6333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type Pharmacy
Lab Director JAMES G. BERCH

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