CLIA lab
CLIA 25D2140632: Walmart Pharmacy 10-0164
Pontotoc, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2140632 belongs to Walmart Pharmacy 10-0164 in Pontotoc, MS.
Certificate of Waiver, effective November 27, 2025, expires November 26, 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 27, 2025
- Certificate expiration
- November 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 27, 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
- 25D2140632
- Lab name
- Walmart Pharmacy 10-0164
- Address
- 100 Mccord Rd, Pontotoc, MS 38863
- Phone
- (662) 489-5421
- Fax
- (662) 489-5423
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 Pontotoc, MS
- Access School Health - Pontotoc MainCertificate of Waiver, School or student health service25D2169925
- Access School Health - South PontotocCertificate of Waiver, School or student health service25D2150116
- Banah Pregnancy Testing CenterCertificate of Waiver, Other25D1065225
- Chris Park DO PC DBA Park Medical ClinicCertificate of Waiver, Physician office25D2184536
- Flavia H West MDCertificate of Waiver, Physician office25D0317158
- Lauderdale Medical Group PLLCCertificate of Waiver, Physician office25D2299820
- Lifecore Health GroupCertificate of Waiver, Rural health clinic25D2125787
- Lindsay Clinic PACertificate of Compliance, Other practitioner25D1072442
- MRH Med Grp-Acute Care & Family Clinic of PontotocCertificate of Compliance, Other practitioner25D1024837
- Millcreek of PontotocCertificate of Waiver, Other25D0975409
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-0164 in Pontotoc?
25D2140632, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-0164 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2140632 expire?
The CMS file lists November 26, 2027 as the certificate expiration date; the certificate took effect November 27, 2025.