CLIA lab

CLIA 17D1099737: Walgreens #09425

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

CLIA number 17D1099737 belongs to Walgreens #09425 in Shawnee, KS.

Certificate of Waiver, effective April 22, 2025, expires April 21, 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
April 22, 2025
Certificate expiration
April 21, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 20, 2009
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
17D1099737
Lab name
Walgreens #09425
Address
5455 Roberts Street, Shawnee, KS 66226
Phone
(913) 667-1728
Fax
(913) 667-3368

Annual test volume the lab reported

Waived tests
12,775

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 Walgreens #09425 in Shawnee?

17D1099737, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens #09425 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 17D1099737 expire?

The CMS file lists April 21, 2027 as the certificate expiration date; the certificate took effect April 22, 2025.

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