25D2140681 CLIA NUMBER - WALMART PHARMACY 10-0874

Laboratory Demographics

  • CLIA Code: 25D2140681
  • Facility Name: WALMART PHARMACY 10-0874
  • Facility Address: 314 SGT PRENTISS DR
    NATCHEZ, MS
    ZIP 39120
  • Facility Phone: 601 442-7878
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHAQUILLA WOO
  • NPI Number: 1457378952
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D2140681
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0874
Street 314 SGT PRENTISS DR
City NATCHEZ
State MS
ZIP 39120
Phone 601 442-7878
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2023
Certificate Expiration Date 11/27/2025
Facility Type Pharmacy
Lab Director SHAQUILLA WOO

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