Mr Pompeo has been accused by Democrats of being a war hawk and harbouring anti-Muslim and homophobic views.
The Senate voted 57-42 to approve him as America’s top diplomat, the second of the Trump presidency.
His predecessor, Rex Tillerson, was sacked last month by the president via Twitter amid a personality clash.
Republican senators, who control the upper chamber, voted unanimously on Thursday to confirm Mr Pompeo. Six Democrats joined them.
Some of those Democrats – including North Dakota’s Heidi Heitkamp and West Virginia’s Joe Manchin – come from conservative-leaning states where Mr Trump won in 2016, and are facing tough midterm elections in November.
The approval comes in time for Mr Pompeo to lead a US delegation to NATO foreign minister talks in Brussels this weekend.
He is expected to depart for the trip only hours…
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