25D2294344 CLIA NUMBER - WILLOUGHBYS PHARMACY

Laboratory Demographics

  • CLIA Code: 25D2294344
  • Facility Name: WILLOUGHBYS PHARMACY
  • Facility Address: 2195 HIGHWAY 49 S
    FLORENCE, MS
    ZIP 39073
  • Facility Phone: 601 891-7007
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KENNETH W. WILLOUGHBY
  • NPI Number: 1376315556
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D2294344
LAB Type Pharmacy
Facility Name WILLOUGHBYS PHARMACY
Street 2195 HIGHWAY 49 S
City FLORENCE
State MS
ZIP 39073
Phone 601 891-7007
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2023
Certificate Expiration Date 11/21/2025
Facility Type Pharmacy
Lab Director KENNETH W. WILLOUGHBY

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