25D2244819 CLIA NUMBER - SUMMIT EXPRESS PHARMACY LLC DBA SUMMIT EXPRESS PHARMACY

Laboratory Demographics

  • CLIA Code: 25D2244819
  • Facility Name: SUMMIT EXPRESS PHARMACY LLC DBA SUMMIT EXPRESS PHARMACY
  • Facility Address: 105 S LAUREL ST
    SUMMIT, MS
    ZIP 39666
  • Facility Phone: 601 465-0500
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIM STAMPS
  • NPI Number: 1720586332
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 25D2244819
LAB Type Pharmacy
Facility Name SUMMIT EXPRESS PHARMACY LLC DBA SUMMIT EXPRESS PHARMACY
Street 105 S LAUREL ST
City SUMMIT
State MS
ZIP 39666
Phone 601 465-0500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Pharmacy
Lab Director TIM STAMPS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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