CLIA lab

CLIA 17D2019447: Dillons Pharmacy #23

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

CLIA number 17D2019447 belongs to Dillons Pharmacy #23 in Pratt, KS.

Certificate of Waiver, effective January 31, 2025, expires January 30, 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
January 31, 2025
Certificate expiration
January 30, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 31, 2011
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
17D2019447
Lab name
Dillons Pharmacy #23
Address
1108 E First, Pratt, KS 67124
Phone
(620) 672-5584
Fax
(620) 672-0508

Annual test volume the lab reported

Waived tests
300

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Pratt, KS

Related

Questions

What is the CLIA number for Dillons Pharmacy #23 in Pratt?

17D2019447, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Dillons Pharmacy #23 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 17D2019447 expire?

The CMS file lists January 30, 2027 as the certificate expiration date; the certificate took effect January 31, 2025.

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