25D2140238 CLIA NUMBER - WALMART PHARMACY 10-5459

Laboratory Demographics

  • CLIA Code: 25D2140238
  • Facility Name: WALMART PHARMACY 10-5459
  • Facility Address: 105 MARKET STREET
    STARKVILLE, MS
    ZIP 39759
  • Facility Phone: 662 270-6296
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANGELA WINDERS
  • NPI Number: 1982113049
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D2140238
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5459
Street 105 MARKET STREET
City STARKVILLE
State MS
ZIP 39759
Phone 662 270-6296
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2023
Certificate Expiration Date 11/15/2025
Facility Type Pharmacy
Lab Director ANGELA WINDERS

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