CLIA lab
CLIA 17D2123283: Walmart Pharmacy 10-592
Derby, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D2123283 belongs to Walmart Pharmacy 10-592 in Derby, KS.
Certificate of Waiver, effective December 16, 2024, expires December 15, 2026.
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
- December 16, 2024
- Certificate expiration
- December 15, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 16, 2016
- 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
- 17D2123283
- Lab name
- Walmart Pharmacy 10-592
- Address
- 2020 N Nelson Dr, Derby, KS 67037
- Phone
- (316) 788-3731
- Fax
- (316) 788-4304
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Derby, KS
- Ascension Medical Group Via Christi, PA - DerbyCertificate of Waiver, Physician office17D0936343
- Brookdale DerbyCertificate of Waiver, Assisted living facility17D0977931
- Children's MercyCertificate of Waiver, Physician office17D1097030
- Damm PharmacyCertificate of Waiver, Pharmacy17D2268331
- Derby Assisted LivingCertificate of Waiver, Assisted living facility17D2191990
- Derby DermCertificate of Waiver, Other practitioner17D1097910
- Derby DrugCertificate of Waiver, Pharmacy17D2182663
- Derby Family MedcenterCertificate of Accreditation, Physician office17D0450969
- Derby Health & RehabilitationCertificate of Waiver, Skilled nursing or nursing facility17D1107812
- Derby Public SchoolsCertificate of Waiver, School or student health service17D0952276
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-592 in Derby?
17D2123283, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-592 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D2123283 expire?
The CMS file lists December 15, 2026 as the certificate expiration date; the certificate took effect December 16, 2024.