25D2297741 CLIA NUMBER - CLARKSDALE PHARMACY

Laboratory Demographics

  • CLIA Code: 25D2297741
  • Facility Name: CLARKSDALE PHARMACY
  • Facility Address: 425 DESOTO AVE
    CLARKSDALE, MS
    ZIP 38614
  • Facility Phone: 662 627-0100
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WILLIAM E. POFF
  • NPI Number: 1770146128
  • Taxonomy: 3336S0011X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D2297741
LAB Type Pharmacy
Facility Name CLARKSDALE PHARMACY
Street 425 DESOTO AVE
City CLARKSDALE
State MS
ZIP 38614
Phone 662 627-0100
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