25D2297740 CLIA NUMBER - TUNICA PHARMACY

Laboratory Demographics

  • CLIA Code: 25D2297740
  • Facility Name: TUNICA PHARMACY
  • Facility Address: 1337 US 61
    TUNICA, MS
    ZIP 38676
  • Facility Phone: 662 363-1431
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WILLIAM E. POFF
  • NPI Number: 1316037237
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D2297740
LAB Type Pharmacy
Facility Name TUNICA PHARMACY
Street 1337 US 61
City TUNICA
State MS
ZIP 38676
Phone 662 363-1431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2024
Certificate Expiration Date 1/21/2026
Facility Type Pharmacy
Lab Director WILLIAM E. POFF

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