25D2139661 CLIA NUMBER - WALMART PHARMACY 10-2755

Laboratory Demographics

  • CLIA Code: 25D2139661
  • Facility Name: WALMART PHARMACY 10-2755
  • Facility Address: 5341 HIGHWAY 25
    FLOWOOD, MS
    ZIP 39232
  • Facility Phone: 601 992-8144
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICHOLAS PHILLIPS
  • NPI Number: 1700803129
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 25D2139661
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2755
Street 5341 HIGHWAY 25
City FLOWOOD
State MS
ZIP 39232
Phone 601 992-8144
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Pharmacy
Lab Director NICHOLAS PHILLIPS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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