CLIA lab

CLIA 17D1031136: Hyvee Pharmacy #1377

Lawrence, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 17D1031136 belongs to Hyvee Pharmacy #1377 in Lawrence, KS.

Certificate of Waiver, effective September 24, 2026, expires September 23, 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
September 24, 2026
Certificate expiration
September 23, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 24, 2004
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
17D1031136
Lab name
Hyvee Pharmacy #1377
Address
3504 Clinton Parkway, Lawrence, KS 66047
Phone
(785) 832-0110
Fax
(785) 832-0516

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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Related

Questions

What is the CLIA number for Hyvee Pharmacy #1377 in Lawrence?

17D1031136, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Hyvee Pharmacy #1377 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 17D1031136 expire?

The CMS file lists September 23, 2028 as the certificate expiration date; the certificate took effect September 24, 2026.

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