CLIA lab
CLIA 17D2042490: Dillons Pharmacy #51
Great Bend, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D2042490 belongs to Dillons Pharmacy #51 in Great Bend, KS.
Certificate of Waiver, effective June 13, 2026, expires June 12, 2028.
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
- June 13, 2026
- Certificate expiration
- June 12, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 13, 2012
- 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
- 17D2042490
- Lab name
- Dillons Pharmacy #51
- Address
- 4107 10th Street, Great Bend, KS 67530
- Phone
- (620) 792-5944
- Fax
- (620) 792-0511
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 Great Bend, KS
- Azria Health-WoodhavenCertificate of Waiver, Skilled nursing or nursing facility17D0452741
- Barton County Health DeptCertificate for Provider-Performed Microscopy Procedures, Community clinic17D0667296
- Brookdale Great BendCertificate of Waiver, Assisted living facility17D0981081
- Center for Counseling & ConsultationCertificate of Waiver, Other17D2187387
- College Health Center Barton Co CCCertificate of Waiver, School or student health service17D0863766
- Fresenius Medical Care Great BendCertificate of Waiver, End stage renal disease dialysis facility17D0883079
- Golden Belt Home Health and HospiceCertificate of Waiver, Hospice17D0927085
- Great Bend Children's ClinicCertificate of Waiver, Rural health clinic17D0667345
- Great Bend Fire & EMSCertificate of Waiver, Ambulance17D0938923
- Haysmed Multispecialty Clinic in Great BendCertificate of Waiver, Community clinic17D2025829
Related
Questions
What is the CLIA number for Dillons Pharmacy #51 in Great Bend?
17D2042490, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dillons Pharmacy #51 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D2042490 expire?
The CMS file lists June 12, 2028 as the certificate expiration date; the certificate took effect June 13, 2026.