CLIA lab
CLIA 25D2125981: Sam's Pharmacy 10-4790
Pearl, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2125981 belongs to Sam's Pharmacy 10-4790 in Pearl, MS.
Certificate of Waiver, effective February 16, 2025, expires February 15, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- February 16, 2025
- Certificate expiration
- February 15, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 16, 2017
- 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
- 25D2125981
- Lab name
- Sam's Pharmacy 10-4790
- Address
- 90 Bass Pro Dr, Pearl, MS 39208
- Phone
- (601) 939-6442
- Fax
- (601) 939-6462
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
- Baptist Medical Group - Pearl Primary CareCertificate of Compliance, Physician office25D2205090
- Baptist Medical Group - Rankin Primary CareCertificate of Compliance, Physician office25D0710144
- Center for Violence Prevention, theCertificate of Waiver, Other practitioner25D2160835
- Central Mississippi Correctional FacilityCertificate of Compliance, Prison25D0927282
- Family First HealthcareCertificate of Waiver, Physician office25D2274610
- Family Health Care ClinicCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center25D0885819
- Healthplus Pharmacy & WellnessCertificate of Waiver, Pharmacy25D2091543
- Kids First Pediatric & Adult Medicine LLCCertificate of Waiver, Other practitioner25D2258078
- Mea Medical Clinic PearlCertificate of Compliance, Physician office25D0318207
- Medscreens IncCertificate of Waiver, Other25D1099801
Related
Questions
What is the CLIA number for Sam's Pharmacy 10-4790 in Pearl?
25D2125981, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sam's Pharmacy 10-4790 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2125981 expire?
The CMS file lists February 15, 2027 as the certificate expiration date; the certificate took effect February 16, 2025.