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CLIA 17D2011269: Walgreens #04665

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

CLIA number 17D2011269 belongs to Walgreens #04665 in Olathe, 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
August 13, 2010
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

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Lab and contact

CLIA number
17D2011269
Lab name
Walgreens #04665
Address
13450 S Blackbob Road, Olathe, KS 66062
Phone
(913) 829-3176
Fax
(913) 829-9115

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.

Other labs in Olathe, KS

Related

Questions

What is the CLIA number for Walgreens #04665 in Olathe?

17D2011269, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens #04665 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 17D2011269 expire?

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

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