25D2142722 CLIA NUMBER - LADNER DRUGS INC

Laboratory Demographics

CLIA Number: 25D2142722

Facility Name: LADNER DRUGS INC

Facility Address:
12435 SHRINERS BLVD
BILOXI, MS
ZIP 39532
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Facility Phone Number: 228 354-9616

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1740649995

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	25D2142722
LAB Type	Pharmacy
Facility Name	LADNER DRUGS INC
Street	12435 SHRINERS BLVD
City	BILOXI
State	MS
ZIP	39532
Phone	228 354-9616
CertificateType	4
CertificateEffectiveDate	8/18/2023
CertificateExpirationDate	8/17/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024