25D2182977 CLIA NUMBER - SHILOH APOTHECARY, INC

Laboratory Demographics

  • CLIA Code: 25D2182977
  • Facility Name: SHILOH APOTHECARY, INC
  • Facility Address: 2049 E SHILOH RD
    CORINTH, MS
    ZIP 38834
  • Facility Phone: 662 594-1573
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAYMOND L. MATHIS
  • NPI Number: 1396259966
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D2182977
LAB Type Pharmacy
Facility Name SHILOH APOTHECARY, INC
Street 2049 E SHILOH RD
City CORINTH
State MS
ZIP 38834
Phone 662 594-1573
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type Pharmacy
Lab Director RAYMOND L. MATHIS

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