25D2297747 CLIA NUMBER - HENDERSON HEALTHMART DRUG

Laboratory Demographics

  • CLIA Code: 25D2297747
  • Facility Name: HENDERSON HEALTHMART DRUG
  • Facility Address: 2021 HOSPITAL DRIVE
    CLARKSDALE, MS
    ZIP 38614
  • Facility Phone: 662 624-6591
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WILLIAM E. POFF
  • NPI Number: 1396832101
  • Taxonomy: 183500000X - Pharmacist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 25D2297747
LAB Type Pharmacy
Facility Name HENDERSON HEALTHMART DRUG
Street 2021 HOSPITAL DRIVE
City CLARKSDALE
State MS
ZIP 38614
Phone 662 624-6591
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

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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