CLIA lab
CLIA 17D1077696: Hyvee Pharmacy #1422
Mission, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D1077696 belongs to Hyvee Pharmacy #1422 in Mission, 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
- 17D1077696
- Lab name
- Hyvee Pharmacy #1422
- Address
- 6655 Martway, Mission, KS 66202
- Phone
- (913) 831-4477
- Fax
- (913) 831-9263
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 Mission, KS
- Acuity Vision Center LLCCertificate of Waiver, Physician office17D2266666
- B&L Medical Group, LLCCertificate of Waiver, Other17D2322534
- DRS Nidiffer and Thomas PACertificate of Waiver, Other practitioner17D0870831
- Doc Shop, PACertificate of Waiver, Physician office17D2205212
- KMC Dermatology - MissionCertificate of Compliance, Physician office17D1040811
- Kansas CVS Pharmacy, LLCCertificate of Waiver, Pharmacy17D2225484
- Saint Luke's Convenient Care - MissionCertificate of Waiver, Community clinic17D2109266
Related
Questions
What is the CLIA number for Hyvee Pharmacy #1422 in Mission?
17D1077696, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hyvee Pharmacy #1422 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D1077696 expire?
The CMS file lists December 16, 2027 as the certificate expiration date; the certificate took effect December 17, 2025.