CLIA lab
CLIA 25D2115407: Walmart Pharmacy 10-2715
Diberville, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2115407 belongs to Walmart Pharmacy 10-2715 in Diberville, MS.
Certificate of Waiver, effective July 6, 2026, expires July 5, 2028.
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 6, 2026
- Certificate expiration
- July 5, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 6, 2016
- 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
- 25D2115407
- Lab name
- Walmart Pharmacy 10-2715
- Address
- 3615 Sangani Blvd, Diberville, MS 39540
- Phone
- (479) 258-2243
- Fax
- (479) 204-0980
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Diberville, MS
- Bma South MS Kidney CenterCertificate of Waiver, End stage renal disease dialysis facility25D0982243
- Coastal Family Health Center Diberville ClinicCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center25D2007714
- Compass Imaging LLCCertificate of Waiver, Other25D2058009
- Greenbriar Nursing CenterCertificate of Waiver, Skilled nursing or nursing facility25D1071024
- Gulf Islands Home TrainingCertificate of Waiver, End stage renal disease dialysis facility25D2108957
- Homestead Assisted Living, theCertificate of Waiver, Assisted living facility25D2221145
- Maxem Health Urgent Care DibervilleCertificate of Waiver, Other25D2166144
- Saad's Home Health and Hospice of MSCertificate of Waiver, Home health agency25D0726659
- Walgreens #10909Certificate of Waiver, Pharmacy25D2037882
- Walmart Pharmacy 10-6166Certificate of Waiver, Pharmacy25D2127437
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-2715 in Diberville?
25D2115407, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-2715 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2115407 expire?
The CMS file lists July 5, 2028 as the certificate expiration date; the certificate took effect July 6, 2026.