25D2139424 CLIA NUMBER - WALMART PHARMACY 10-0153

Laboratory Demographics

  • CLIA Code: 25D2139424
  • Facility Name: WALMART PHARMACY 10-0153
  • Facility Address: 202 PARK PLAZA DRIVE
    NEW ALBANY, MS
    ZIP 38652
  • Facility Phone: 662 534-1859
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICHARD S. MCCAY
  • NPI Number: 1982621397
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D2139424
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0153
Street 202 PARK PLAZA DRIVE
City NEW ALBANY
State MS
ZIP 38652
Phone 662 534-1859
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Pharmacy
Lab Director RICHARD S. MCCAY

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