CLIA lab
CLIA 25D2120153: Walmart Pharmacy 10-5419
Hernando, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2120153 belongs to Walmart Pharmacy 10-5419 in Hernando, MS.
Certificate of Waiver, effective October 11, 2024, expiration date October 10, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 11, 2024
- Certificate expiration
- October 10, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 11, 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
- 25D2120153
- Lab name
- Walmart Pharmacy 10-5419
- Address
- 2600 Mcingvale Road, Hernando, MS 38632
- Phone
- (479) 258-2243
- Fax
- (479) 204-0980
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 Hernando, MS
- All Children's Clinic - HernandoCertificate of Compliance, Physician office25D2189260
- Bagwell Medical ClinicCertificate of Compliance, Physician office25D2058044
- Bagwell Medical Clinic EastCertificate of Compliance, Physician office25D1107141
- City of Hernando Fire & EMSCertificate of Waiver, Ambulance25D2255465
- Davis Family Medical & Express CareCertificate of Waiver, Physician office25D2306918
- Desoto County Adult Detention FacilityCertificate of Waiver, Prison25D2241543
- Eudora Medical Center, LLCCertificate of Waiver, Other practitioner25D2274549
- Family Care ClinicCertificate of Waiver, Other practitioner25D2328358
- Funderburk's PharmacyCertificate of Waiver, Pharmacy25D0942356
- Health Connect America, IncCertificate of Waiver, Other25D2302849
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-5419 in Hernando?
25D2120153, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-5419 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2120153 expire?
The CMS file lists October 10, 2026 as the certificate expiration date; the certificate took effect October 11, 2024.