25D2224590 CLIA NUMBER - WALGREENS #18039

Laboratory Demographics

  • CLIA Code: 25D2224590
  • Facility Name: WALGREENS #18039
  • Facility Address: 3082 BIENVILLE BLVD
    OCEAN SPRINGS, MS
    ZIP 39564
  • Facility Phone: 228 872-2646
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KHANH M. NGUYEN
  • NPI Number: 1144743238
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D2224590
LAB Type Pharmacy
Facility Name WALGREENS #18039
Street 3082 BIENVILLE BLVD
City OCEAN SPRINGS
State MS
ZIP 39564
Phone 228 872-2646
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Pharmacy
Lab Director KHANH M. NGUYEN

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