CLIA lab
CLIA 17D2159101: Walmart Pharmacy 10-242
Paola, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D2159101 belongs to Walmart Pharmacy 10-242 in Paola, 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
- 17D2159101
- Lab name
- Walmart Pharmacy 10-242
- Address
- 310 Hedge Ln, Paola, KS 66071
- Phone
- (913) 294-5777
- Fax
- (913) 294-0815
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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- Arista Recovery Operator at Paola LLCCertificate of Waiver, Other17D2272028
- Auburn Pharmacy#130Certificate of Waiver, Pharmacy17D2208771
- Family Medicine, Kansas Drive Medical PavilionCertificate of Waiver, Physician office17D0448589
- Health Partnership ClinicCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center17D2175601
- Homestead of PaolaCertificate of Waiver, Assisted living facility17D0976383
- Kansas City Urology Care, PACertificate for Provider-Performed Microscopy Procedures, Physician office17D2115313
- Lakemary Center Psychiatric Residential FacilityCertificate of Waiver, Other17D2124141
- Medicalodge of PaolaCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities17D0676947
- Medlen Family CareCertificate of Waiver, Other practitioner17D2144601
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-242 in Paola?
17D2159101, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-242 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D2159101 expire?
The CMS file lists December 11, 2026 as the certificate expiration date; the certificate took effect December 12, 2024.