25D2142790 CLIA NUMBER - WALMART PHARMACY 10-0115

Laboratory Demographics

  • CLIA Code: 25D2142790
  • Facility Name: WALMART PHARMACY 10-0115
  • Facility Address: 5509 HIGHWAY 45 ALT S
    WEST POINT, MS
    ZIP 39773
  • Facility Phone: 662 494-1050
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANISH PATEL
  • NPI Number: 1528437019
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 25D2142790
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0115
Street 5509 HIGHWAY 45 ALT S
City WEST POINT
State MS
ZIP 39773
Phone 662 494-1050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2024
Certificate Expiration Date 1/18/2026
Facility Type Pharmacy
Lab Director ANISH PATEL

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