CLIA lab

CLIA 25D2125985: Sam's Pharmacy 10-8271

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

CLIA number 25D2125985 belongs to Sam's Pharmacy 10-8271 in Madison, 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

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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
25D2125985
Lab name
Sam's Pharmacy 10-8271
Address
257 Grandview Blvd, Madison, MS 39110
Phone
(601) 977-0948
Fax
(601) 977-0413

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.

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Questions

What is the CLIA number for Sam's Pharmacy 10-8271 in Madison?

25D2125985, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Sam's Pharmacy 10-8271 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 25D2125985 expire?

The CMS file lists February 15, 2027 as the certificate expiration date; the certificate took effect February 16, 2025.

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