25D2266330 CLIA NUMBER - LOVE'S PHARMACY NO 2 INC

Laboratory Demographics

  • CLIA Code: 25D2266330
  • Facility Name: LOVE'S PHARMACY NO 2 INC
  • Facility Address: 45000 E ALOHA DR STE B
    DIAMONDHEAD, MS
    ZIP 39525
  • Facility Phone: 228 363-6100
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMY C. BAGGETT
  • NPI Number: 1083357297
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D2266330
LAB Type Pharmacy
Facility Name LOVE'S PHARMACY NO 2 INC
Street 45000 E ALOHA DR STE B
City DIAMONDHEAD
State MS
ZIP 39525
Phone 228 363-6100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2024
Certificate Expiration Date 8/8/2026
Facility Type Pharmacy
Lab Director AMY C. BAGGETT

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