25D2046728 CLIA NUMBER - GOLDEN TRIANGLE URGENT CARE, LLC DBA BAPTIST URGENT CARE

Laboratory Demographics

  • CLIA Code: 25D2046728
  • Facility Name: GOLDEN TRIANGLE URGENT CARE, LLC DBA BAPTIST URGENT CARE
  • Facility Address: 500 RUSSELL ST STE 3
    STARKVILLE, MS
    ZIP 39759
  • Facility Phone: 662 324-2244
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: RANDLE FARELON
  • NPI Number: 1346592045
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2046728
LAB Type Practitioner Other
Facility Name GOLDEN TRIANGLE URGENT CARE, LLC DBA BAPTIST URGENT CARE
Street 500 RUSSELL ST STE 3
City STARKVILLE
State MS
ZIP 39759
Phone 662 324-2244
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Practitioner Other
Lab Director RANDLE FARELON

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