CLIA lab
CLIA 25D2194086: Magic Mart Pharmacy
Indianola, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2194086 belongs to Magic Mart Pharmacy in Indianola, MS.
Certificate of Waiver, effective September 28, 2024, expiration date September 27, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- September 28, 2024
- Certificate expiration
- September 27, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 28, 2020
- 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
- 25D2194086
- Lab name
- Magic Mart Pharmacy
- Address
- 903 Hwy 82 E Bldg G, Indianola, MS 38751
- Phone
- (662) 887-4135
- Fax
- (662) 887-9703
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Delta Primary Care Rural Health ClinicCertificate of Waiver, Rural health clinic25D2063415
- Home Health Care Services Inc DBA Adoration HomeCertificate of Waiver, Home health agency25D0899749
- Indianola Family Medical GroupCertificate of Accreditation, Physician office25D0316807
- Indianola Rehabilitation and Healthcare CenterCertificate of Waiver, Skilled nursing or nursing facility25D0674986
- Platinum Plus Care LLCCertificate of Waiver, Assisted living facility25D2193926
- Quality Family Care, LLCCertificate of Waiver, Other practitioner25D2138007
- RCG Mississippi IncCertificate of Waiver, End stage renal disease dialysis facility25D0885969
Related
Questions
What is the CLIA number for Magic Mart Pharmacy in Indianola?
25D2194086, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Magic Mart Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2194086 expire?
The CMS file lists September 27, 2026 as the certificate expiration date; the certificate took effect September 28, 2024.