25D2287504 CLIA NUMBER - WALGREENS #19986

Laboratory Demographics

  • CLIA Code: 25D2287504
  • Facility Name: WALGREENS #19986
  • Facility Address: 201B ALABAMA ST
    COLUMBUS, MS
    ZIP 39702
  • Facility Phone: 662 327-0900
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JALYNN A. GRAY
  • NPI Number: 1639692833
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D2287504
LAB Type Pharmacy
Facility Name WALGREENS #19986
Street 201B ALABAMA ST
City COLUMBUS
State MS
ZIP 39702
Phone 662 327-0900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Pharmacy
Lab Director JALYNN A. GRAY

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