25D2231052 CLIA NUMBER - WALGREENS #17341

Laboratory Demographics

  • CLIA Code: 25D2231052
  • Facility Name: WALGREENS #17341
  • Facility Address: 200 HWY 145 N
    ABERDEEN, MS
    ZIP 39730
  • Facility Phone: 662 369-9311
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THOMAS T. HURST
  • NPI Number: 1619490810
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D2231052
LAB Type Pharmacy
Facility Name WALGREENS #17341
Street 200 HWY 145 N
City ABERDEEN
State MS
ZIP 39730
Phone 662 369-9311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2025
Certificate Expiration Date 7/28/2027
Facility Type Pharmacy
Lab Director THOMAS T. HURST

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