CLIA lab

CLIA 17D2159089: Walmart Neighborhood Pharmacy 5791

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

CLIA number 17D2159089 belongs to Walmart Neighborhood Pharmacy 5791 in Pittsburg, KS.

Certificate of Waiver, effective December 12, 2024, expires December 11, 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 12, 2024
Certificate expiration
December 11, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 12, 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
17D2159089
Lab name
Walmart Neighborhood Pharmacy 5791
Address
1011 East Centennial Drive, Pittsburg, KS 66762
Phone
(620) 308-7110
Fax
(620) 308-7109

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.

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Related

Questions

What is the CLIA number for Walmart Neighborhood Pharmacy 5791 in Pittsburg?

17D2159089, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart Neighborhood Pharmacy 5791 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 17D2159089 expire?

The CMS file lists December 11, 2026 as the certificate expiration date; the certificate took effect December 12, 2024.

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