25D2139458 CLIA NUMBER - WALMART PHARMACY 10-0182

Laboratory Demographics

  • CLIA Code: 25D2139458
  • Facility Name: WALMART PHARMACY 10-0182
  • Facility Address: 1831 HIGHWAY 1 SOUTH
    GREENVILLE, MS
    ZIP 38701
  • Facility Phone: 662 332-9955
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ELIZABETH JENKINS
  • NPI Number: 1588681019
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D2139458
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0182
Street 1831 HIGHWAY 1 SOUTH
City GREENVILLE
State MS
ZIP 38701
Phone 662 332-9955
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 ELIZABETH JENKINS

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