25D2140090 CLIA NUMBER - WALMART PHARMACY 10-4586

Laboratory Demographics

  • CLIA Code: 25D2140090
  • Facility Name: WALMART PHARMACY 10-4586
  • Facility Address: 1820-A POPPS FERRY ROAD
    BILOXI, MS
    ZIP 39532
  • Facility Phone: 228 271-6081
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HUY HOANG
  • NPI Number: 1487014783
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D2140090
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4586
Street 1820-A POPPS FERRY ROAD
City BILOXI
State MS
ZIP 39532
Phone 228 271-6081
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2023
Certificate Expiration Date 11/13/2025
Facility Type Pharmacy
Lab Director HUY HOANG

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This page was last updated on: 6/4/2025