25D2183003 CLIA NUMBER - POLK'S DISCOUNT DRUGS #2

Laboratory Demographics

  • CLIA Code: 25D2183003
  • Facility Name: POLK'S DISCOUNT DRUGS #2
  • Facility Address: 101 49 PLACE
    FLORENCE, MS
    ZIP 39073
  • Facility Phone: 601 845-8610
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KENNETH W. WILLOUGHBY
  • NPI Number: 1508961947
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D2183003
LAB Type Pharmacy
Facility Name POLK'S DISCOUNT DRUGS #2
Street 101 49 PLACE
City FLORENCE
State MS
ZIP 39073
Phone 601 845-8610
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 KENNETH W. WILLOUGHBY

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