CLIA lab

CLIA 25D2140144: Walmart Pharmacy 10-0114

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

CLIA number 25D2140144 belongs to Walmart Pharmacy 10-0114 in Booneville, MS.

Certificate of Waiver, effective November 15, 2025, expires November 14, 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
November 15, 2025
Certificate expiration
November 14, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 15, 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
25D2140144
Lab name
Walmart Pharmacy 10-0114
Address
300 Walmart Cir, Booneville, MS 38829
Phone
(662) 728-6863
Fax
(662) 728-6691

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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Related

Questions

What is the CLIA number for Walmart Pharmacy 10-0114 in Booneville?

25D2140144, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart Pharmacy 10-0114 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 25D2140144 expire?

The CMS file lists November 14, 2027 as the certificate expiration date; the certificate took effect November 15, 2025.

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