CLIA lab
CLIA 25D2120165: Walmart Pharmacy 10-6964
Horn Lake, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2120165 belongs to Walmart Pharmacy 10-6964 in Horn Lake, 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
- 25D2120165
- Lab name
- Walmart Pharmacy 10-6964
- Address
- 4150 Goodman Rd W, Horn Lake, MS 38637
- 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 Horn Lake, MS
- Convenient Care Clinic, LLCCertificate of Waiver, Physician office25D2065252
- Essential Health and Wellness Clinic, PACertificate of Waiver, Rural health clinic25D2191238
- Horn Lake Family PracticeCertificate of Compliance, Physician office25D0937074
- Join Parachute - Horn LakeCertificate of Accreditation, Other25D2191219
- Kroger Pharmacy #453Certificate of Waiver, Pharmacy25D1021498
- Kroger Pharmacy #499Certificate of Waiver, Pharmacy25D2029470
- Landmark of DesotoCertificate of Waiver, Skilled nursing or nursing facility25D0986875
- Newsom Healthcare of Desoto County, LLCCertificate for Provider-Performed Microscopy Procedures, Community clinic25D1089399
- Phlebotomy SolutionsCertificate of Waiver, Mobile lab44D1031332
- Salve Family Health PCCertificate of Waiver, Physician office25D2349960
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-6964 in Horn Lake?
25D2120165, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-6964 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2120165 expire?
The CMS file lists October 10, 2026 as the certificate expiration date; the certificate took effect October 11, 2024.