25D2129533 CLIA NUMBER - WALMART PHARMACY 10-1168

Laboratory Demographics

  • CLIA Code: 25D2129533
  • Facility Name: WALMART PHARMACY 10-1168
  • Facility Address: 1001 HIGHWAY 98
    COLUMBIA, MS
    ZIP 39429
  • Facility Phone: 601 731-1266
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMY PARRISH
  • NPI Number: 1538186945
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D2129533
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1168
Street 1001 HIGHWAY 98
City COLUMBIA
State MS
ZIP 39429
Phone 601 731-1266
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Pharmacy
Lab Director AMY PARRISH

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