CLIA lab

CLIA 17D2159036: Walmart Pharmacy 10-5307

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

CLIA number 17D2159036 belongs to Walmart Pharmacy 10-5307 in Gardner, 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
17D2159036
Lab name
Walmart Pharmacy 10-5307
Address
1725 E Santa Fe St, Gardner, KS 66030
Phone
(913) 884-8411
Fax
(913) 884-7025

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 Gardner, KS

Related

Questions

What is the CLIA number for Walmart Pharmacy 10-5307 in Gardner?

17D2159036, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart Pharmacy 10-5307 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 17D2159036 expire?

The CMS file lists December 10, 2026 as the certificate expiration date; the certificate took effect December 11, 2024.

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