25D2296217 CLIA NUMBER - GUY'S PHARMACY OF CRYSTAL SPRINGS

Laboratory Demographics

  • CLIA Code: 25D2296217
  • Facility Name: GUY'S PHARMACY OF CRYSTAL SPRINGS
  • Facility Address: 512 W MARION AVE
    CRYSTAL SPRINGS, MS
    ZIP 39059
  • Facility Phone: 601 647-0030
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOE K. GUY
  • NPI Number: 1801339387
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D2296217
LAB Type Pharmacy
Facility Name GUY'S PHARMACY OF CRYSTAL SPRINGS
Street 512 W MARION AVE
City CRYSTAL SPRINGS
State MS
ZIP 39059
Phone 601 647-0030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2023
Certificate Expiration Date 12/21/2025
Facility Type Pharmacy
Lab Director JOE K. GUY

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