CLIA lab
CLIA 25D2262562: Mississippi CVS Pharmacy LLC DBA CVS Pharmacy04536
Booneville, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2262562 belongs to Mississippi CVS Pharmacy LLC DBA CVS Pharmacy04536 in Booneville, MS.
Certificate of Waiver, effective June 15, 2026, expires June 14, 2028.
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
- June 15, 2026
- Certificate expiration
- June 14, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 15, 2022
- 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
- 25D2262562
- Lab name
- Mississippi CVS Pharmacy LLC DBA CVS Pharmacy04536
- Address
- 301 American Avenue, Booneville, MS 38829
- Phone
- (601) 720-1707
Annual test volume the lab reported
- Waived tests
- 13,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Booneville, MS
- Baptist Memorial Hospital BoonevilleCertificate of Accreditation, Hospital25D0651792
- Baptist Memorial Medical Group, Inc - NemimCertificate of Accreditation, Physician office25D2062576
- Baptist Memorial Medical Group-BimCertificate of Waiver, Physician office25D0724604
- Booneville Family Practice ClinicCertificate of Waiver, Physician office25D0317025
- Caterpillar-PrentissCertificate of Waiver, Other25D2061399
- Cox-Blythe Healthcare GRPCertificate of Waiver, Pharmacy25D2182248
- Express Care of Booneville, LLCCertificate of Compliance, Physician office25D2264621
- Faith Family Clinic of Booneville, LLCCertificate of Compliance, Physician office25D1058512
- Family First Medical Clinic, LLCCertificate of Waiver, Other practitioner25D2058279
- Family Med 101Certificate of Waiver, Physician office25D1059531
Related
Questions
What is the CLIA number for Mississippi CVS Pharmacy LLC DBA CVS Pharmacy04536 in Booneville?
25D2262562, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mississippi CVS Pharmacy LLC DBA CVS Pharmacy04536 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2262562 expire?
The CMS file lists June 14, 2028 as the certificate expiration date; the certificate took effect June 15, 2026.