CLIA lab

CLIA 25D1062479: Walmart Pharmacy 10-0365

Pearl, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 25D1062479 belongs to Walmart Pharmacy 10-0365 in Pearl, MS.

Certificate of Waiver, effective July 7, 2025, expires July 6, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
July 7, 2025
Certificate expiration
July 6, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 15, 2006
Facility type
Pharmacy
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
25D1062479
Lab name
Walmart Pharmacy 10-0365
Address
5520 Hwy 80 East, Pearl, MS 39208
Phone
(601) 939-4342
Fax
(601) 932-5253

Annual test volume the lab reported

Waived tests
5,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Pearl, MS

Related

Questions

What is the CLIA number for Walmart Pharmacy 10-0365 in Pearl?

25D1062479, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart Pharmacy 10-0365 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 25D1062479 expire?

The CMS file lists July 6, 2027 as the certificate expiration date; the certificate took effect July 7, 2025.

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