25D2127409 CLIA NUMBER - WALMART PHARMACY 10-0183

Laboratory Demographics

  • CLIA Code: 25D2127409
  • Facility Name: WALMART PHARMACY 10-0183
  • Facility Address: 159 HWY 15 S
    LOUISVILLE, MS
    ZIP 39339
  • Facility Phone: 662 773-9033
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TORI CLEARMAN
  • NPI Number: 1245257641
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D2127409
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0183
Street 159 HWY 15 S
City LOUISVILLE
State MS
ZIP 39339
Phone 662 773-9033
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 TORI CLEARMAN

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