25D2037888 CLIA NUMBER - WALGREENS #06770

Laboratory Demographics

  • CLIA Code: 25D2037888
  • Facility Name: WALGREENS #06770
  • Facility Address: 220 HIGHWAY 12 W
    STARKVILLE, MS
    ZIP 39759
  • Facility Phone: 662 323-2129
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: YOLANDA Y. DAVIDSON
  • NPI Number: 1912912171
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D2037888
LAB Type Pharmacy
Facility Name WALGREENS #06770
Street 220 HIGHWAY 12 W
City STARKVILLE
State MS
ZIP 39759
Phone 662 323-2129
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type Pharmacy
Lab Director YOLANDA Y. DAVIDSON

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