The medical isotope (Mo-99) production at Chalk River Laboratory involves the dissolution of irradiated isotope targets prior to the extraction of Mo-99. This process generates a waste that is cemented in 5-gallon containers and transferred to a waste-management facility for intermediate storage. Over the past decades, a large number of five-gallon containers of cemented radioactive waste (CRW) were produced, and Canadian Nuclear Laboratories (CNL) must develop a process to convert this material to a permanent waste form. Research has been undertaken to develop an innovative method for the recovery of U, Hg, and Cs from surrogate cemented radioactive waste (SCRW). This paper presents the pilot scale validation of the operating parameters prior to the demonstration scale testing. Leaching tests at the pilot scale were conducted with 5 kg of SCRW to validate the main operating parameters and evaluate the reuse of the leaching solution. The mean solubilization yields obtained at the pilot scale were 81.9 ± 8.3% for Cs, 99.0 ± 1% for U, and 94.9 ± 4.5% for Hg. Columns with 100 g of KNiFC-PAN and 250 g of Lewatit TP214 allow for the separation of Cs and Hg from 60 L of leaching solution without U loss. Flow rates of 12.5 BV/h and 25 BV/h were suitable to achieve 99% separation of Hg and Cs, respectively. For the Hg resin, the capacity reached 23.4 mg/g, and the capacity for the Cs resin reached 0.79 mg/g. The pilot scale U extraction results showed that the U adsorption is selective, with a breakthrough at 36 BV (capacity for U of 3.70 mg/g). Uranium elution with 1 M Na2CO3 exceeded 99%, and subsequent precipitation with NaOH achieved 99% recovery. SEM data confirmed the high purity of the U solids produced as sodium di-uranate.