25D2078600 CLIA NUMBER - WALGREENS #15250

Laboratory Demographics

  • CLIA Code: 25D2078600
  • Facility Name: WALGREENS #15250
  • Facility Address: 1606 HIGHLAND COLONY PKWY
    MADISON, MS
    ZIP 39110
  • Facility Phone: 601 605-5928
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARK PEARSON
  • NPI Number: 1477993236
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D2078600
LAB Type Pharmacy
Facility Name WALGREENS #15250
Street 1606 HIGHLAND COLONY PKWY
City MADISON
State MS
ZIP 39110
Phone 601 605-5928
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Pharmacy
Lab Director MARK PEARSON

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