CLIA lab
CLIA 17D2137921: Sam's Club Pharmacy 10-4791
Garden City, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D2137921 belongs to Sam's Club Pharmacy 10-4791 in Garden City, KS.
Certificate of Waiver, effective October 6, 2025, expires October 5, 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
- October 6, 2025
- Certificate expiration
- October 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 6, 2017
- 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
- 17D2137921
- Lab name
- Sam's Club Pharmacy 10-4791
- Address
- 3010 Larue St, Garden City, KS 67846
- Phone
- (620) 272-9023
- Fax
- (620) 272-9025
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 Garden City, KS
- Abc Pregnancy Care CenterCertificate of Waiver, Independent17D2238621
- Bright Blue at Tyson - Finney CountyCertificate of Waiver, Other17D2216722
- Buckley ChiropracticCertificate of Waiver, Other practitioner17D0975758
- Buffalo Plains Health Center, LLCCertificate for Provider-Performed Microscopy Procedures, Physician office17D2208573
- Caregivers of Garden City, LLCCertificate of Waiver, Home health agency17D2309075
- Chiropractic CenterCertificate of Waiver, Physician office17D2055822
- Chuong Duc Le MDCertificate for Provider-Performed Microscopy Procedures, Physician office17D0453172
- Commonspirit Kansas, IncCertificate of Accreditation, Hospital17D0453211
- Commonspirit Medical Group Women's HealthCertificate for Provider-Performed Microscopy Procedures, Physician office17D0699883
- Commonspirit Primary CareCertificate of Waiver, Physician office17D0453206
Related
Questions
What is the CLIA number for Sam's Club Pharmacy 10-4791 in Garden City?
17D2137921, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sam's Club Pharmacy 10-4791 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D2137921 expire?
The CMS file lists October 5, 2027 as the certificate expiration date; the certificate took effect October 6, 2025.