CLIA lab

CLIA 17D1105078: Dillons Pharmacy #15

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

CLIA number 17D1105078 belongs to Dillons Pharmacy #15 in Manhattan, KS.

Certificate of Waiver, effective September 16, 2025, expires September 15, 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
September 16, 2025
Certificate expiration
September 15, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 16, 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
17D1105078
Lab name
Dillons Pharmacy #15
Address
130 Sarber Lane, Manhattan, KS 66502
Phone
(785) 776-0060
Fax
(785) 587-1725

Annual test volume the lab reported

Waived tests
200

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 Dillons Pharmacy #15 in Manhattan?

17D1105078, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Dillons Pharmacy #15 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 17D1105078 expire?

The CMS file lists September 15, 2027 as the certificate expiration date; the certificate took effect September 16, 2025.

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