CLIA lab
CLIA 17D2158990: Walmart Pharmacy 10-4611
Shawnee, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D2158990 belongs to Walmart Pharmacy 10-4611 in Shawnee, KS.
Certificate of Waiver, effective December 11, 2024, expires December 10, 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 11, 2024
- Certificate expiration
- December 10, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 11, 2018
- 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
- 17D2158990
- Lab name
- Walmart Pharmacy 10-4611
- Address
- 5701 Silverheel Street, Shawnee, KS 66226
- Phone
- (913) 535-5122
- Fax
- (913) 535-5123
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 Shawnee, KS
- Align Family Health & Wellness Center LLCCertificate of Waiver, Other practitioner17D2264603
- Alliance Healing Hospice & Palliative Care LLCCertificate of Waiver, Hospice17D2217863
- Anew Health LLCCertificate of Waiver, Hospital17D2193384
- Appl Orchard HospiceCertificate of Waiver, Hospice17D2171463
- Aquinas Home HealthCertificate of Waiver, Home health agency17D0911077
- Aquinas-Carondelet Home HealthCertificate of Waiver, Home health agency17D0688472
- Arc Sweet Life Rosehill, LLCCertificate of Waiver, Skilled nursing or nursing facility17D1011208
- Brookdale ShawneeCertificate of Waiver, Assisted living facility17D0973860
- Cardiovascular Medicine - SwitzerCertificate of Compliance, Physician office17D2255427
- City of Shawnee Fire DepartmentCertificate of Waiver, Other practitioner17D2160217
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-4611 in Shawnee?
17D2158990, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-4611 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D2158990 expire?
The CMS file lists December 10, 2026 as the certificate expiration date; the certificate took effect December 11, 2024.