CLIA lab
CLIA 25D2127406: Walmart Pharmacy 10-0239
Kosciusko, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2127406 belongs to Walmart Pharmacy 10-0239 in Kosciusko, MS.
Certificate of Waiver, effective March 14, 2025, expires March 13, 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
- March 14, 2025
- Certificate expiration
- March 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 14, 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
- 25D2127406
- Lab name
- Walmart Pharmacy 10-0239
- Address
- 220 Veterans Memorial Dr, Kosciusko, MS 39090
- Phone
- (662) 289-4593
- Fax
- (662) 289-5148
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 Kosciusko, MS
- Amaris Medical GroupCertificate for Provider-Performed Microscopy Procedures, Other practitioner25D2209251
- Attala Comm Care Ctr/County Nursing CTCertificate of Waiver, Skilled nursing or nursing facility25D0928819
- Baptist Medical Center - AttalaCertificate of Compliance, Hospital25D0029755
- Baptist Medical Clinic KosciuskoCertificate of Waiver, Physician office25D2104929
- Biomedical Applications of Mississippi Inc DBA BmaCertificate of Waiver, End stage renal disease dialysis facility25D0902269
- Crescent City Surgical Centre Diagnostics, LLCCertificate of Registration, Independent25D2346670
- Fast Pace Mississippi, PLLCCertificate of Waiver, Physician office25D2149252
- Kosciusko VA Primary Care CenterCertificate of Waiver, Community clinic25D2071075
- Millcreek of KosciuskoCertificate of Waiver, Other25D2122435
- Premier Kosciusko Medical ClinicCertificate of Compliance, Physician office25D0317542
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-0239 in Kosciusko?
25D2127406, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-0239 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2127406 expire?
The CMS file lists March 13, 2027 as the certificate expiration date; the certificate took effect March 14, 2025.