25D2139675 CLIA NUMBER - WALMART PHARMACY 10-1468

Laboratory Demographics

  • CLIA Code: 25D2139675
  • Facility Name: WALMART PHARMACY 10-1468
  • Facility Address: 205 HOUSE CARLSON DR
    BATESVILLE, MS
    ZIP 38606
  • Facility Phone: 662 563-3141
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EMILY M. BRIGTSEN
  • NPI Number: 1619994027
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 25D2139675
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1468
Street 205 HOUSE CARLSON DR
City BATESVILLE
State MS
ZIP 38606
Phone 662 563-3141
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 EMILY M. BRIGTSEN

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