CLIA lab
CLIA 17D1077690: Hyvee Pharmacy #2 (1464)
Olathe, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D1077690 belongs to Hyvee Pharmacy #2 (1464) in Olathe, KS.
Certificate of Waiver, effective December 17, 2025, expires December 16, 2027.
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
- December 17, 2025
- Certificate expiration
- December 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 17, 2007
- 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
- 17D1077690
- Lab name
- Hyvee Pharmacy #2 (1464)
- Address
- 18101 West 119th Street, Olathe, KS 66061
- Phone
- (515) 559-5708
- Fax
- (515) 559-2515
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Olathe, KS
- 3M54 LLCCertificate of Waiver, Physician office17D2346554
- Aberdeen VillageCertificate of Waiver, Skilled nursing or nursing facility17D0988082
- Adventhealth Centra Care OlatheCertificate of Waiver, Other17D2115583
- Allied Home Health LLCCertificate of Waiver, Home health agency17D2336925
- Auburn Pharmacy #127Certificate of Waiver, Pharmacy17D2204770
- Auburn Pharmacy #135Certificate of Waiver, Pharmacy17D2193874
- Benton House of OlatheCertificate of Waiver, Assisted living facility17D2158924
- Care for Women LLCCertificate for Provider-Performed Microscopy Procedures, Physician office17D1038640
- Cedar Lake VillageCertificate of Waiver, Assisted living facility17D2193954
- Centerwell Senior Primary Care-OlatheCertificate of Waiver, Physician office17D2136729
Related
Questions
What is the CLIA number for Hyvee Pharmacy #2 (1464) in Olathe?
17D1077690, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hyvee Pharmacy #2 (1464) hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D1077690 expire?
The CMS file lists December 16, 2027 as the certificate expiration date; the certificate took effect December 17, 2025.