25D2184402 CLIA NUMBER - MOORE'S PHARMACY

Laboratory Demographics

  • CLIA Code: 25D2184402
  • Facility Name: MOORE'S PHARMACY
  • Facility Address: 103 CHADWICK AVE
    WALNUT GROVE, MS
    ZIP 39189
  • Facility Phone: 601 253-2599
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRETT C. MOORE
  • NPI Number: 1376633818
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D2184402
LAB Type Pharmacy
Facility Name MOORE'S PHARMACY
Street 103 CHADWICK AVE
City WALNUT GROVE
State MS
ZIP 39189
Phone 601 253-2599
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2024
Certificate Expiration Date 5/18/2026
Facility Type Pharmacy
Lab Director BRETT C. MOORE

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