CLIA lab

CLIA 17D2030837: Walgreens #9454

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

CLIA number 17D2030837 belongs to Walgreens #9454 in Independence, KS.

Certificate of Waiver, effective July 21, 2025, expires July 20, 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
July 21, 2025
Certificate expiration
July 20, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 6, 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
17D2030837
Lab name
Walgreens #9454
Address
301 West Main Street, Independence, KS 67301
Phone
(620) 331-7594
Fax
(620) 331-7085

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 #9454 in Independence?

17D2030837, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens #9454 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 17D2030837 expire?

The CMS file lists July 20, 2027 as the certificate expiration date; the certificate took effect July 21, 2025.

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