CLIA lab

CLIA 25D2139664: Walmart Pharmacy 10-5079

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

CLIA number 25D2139664 belongs to Walmart Pharmacy 10-5079 in Pass Christian, MS.

Certificate of Waiver, effective November 7, 2025, expires November 6, 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 Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Waiver
Certificate effective
November 7, 2025
Certificate expiration
November 6, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 7, 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
25D2139664
Lab name
Walmart Pharmacy 10-5079
Address
1617 East Beach Blvd, Pass Christian, MS 39571
Phone
(228) 452-7890
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 Pass Christian, MS

Related

Questions

What is the CLIA number for Walmart Pharmacy 10-5079 in Pass Christian?

25D2139664, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart Pharmacy 10-5079 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 25D2139664 expire?

The CMS file lists November 6, 2027 as the certificate expiration date; the certificate took effect November 7, 2025.

Try it on your own data today.

Free to start. Most teams are using it the same day.