25D2127393 CLIA NUMBER - WALMART PHARMACY 10-0501

Laboratory Demographics

  • CLIA Code: 25D2127393
  • Facility Name: WALMART PHARMACY 10-0501
  • Facility Address: 1621 HWY 15 N
    LAUREL, MS
    ZIP 39440
  • Facility Phone: (601) 649-4670
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARAH ISHEE

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CLIA Record

Field Name Field Value
CLIA Number 25D2127393
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0501
Street 1621 HWY 15 N
City LAUREL
State MS
ZIP 39440
Phone 6016494670
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Pharmacy
Lab Director SARAH ISHEE

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This page was last updated on: 5/18/2026