25D2139671 CLIA NUMBER - WALMART PHARMACY 10-6469

Laboratory Demographics

  • CLIA Code: 25D2139671
  • Facility Name: WALMART PHARMACY 10-6469
  • Facility Address: 131 HANDLEY BOULEVARD
    BYRAM, MS
    ZIP 39272
  • Facility Phone: 769 237-4326
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DENISA STRONG
  • NPI Number: 1356706683
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 25D2139671
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-6469
Street 131 HANDLEY BOULEVARD
City BYRAM
State MS
ZIP 39272
Phone 769 237-4326
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 DENISA STRONG

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