CLIA lab
CLIA 17D2159122: Walmart 10-111
Chanute, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D2159122 belongs to Walmart 10-111 in Chanute, 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
- 17D2159122
- Lab name
- Walmart 10-111
- Address
- 2700 South Santa Fe Ave, Chanute, KS 66720
- Phone
- (620) 431-4064
- Fax
- (620) 431-6055
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 Chanute, KS
- Angels Care Home HealthCertificate of Waiver, Home health agency17D1069622
- Cardinal Drugstore IncCertificate of Waiver, Pharmacy17D2183052
- Chanute Chiropractic CenterCertificate of Waiver, Other practitioner17D2070532
- Credo Senior Living and Memory Care of ChanuteCertificate of Waiver, Assisted living facility17D2087401
- Diversicare of ChanuteCertificate of Waiver, Skilled nursing or nursing facility17D0450486
- Guest Home Estates IIICertificate of Waiver, Other17D0968481
- Heritage Health Care CenterCertificate of Waiver, Skilled nursing or nursing facility17D0450489
- Labette Health Chanute Clinic and Express CareCertificate of Waiver, Rural health clinic17D2150134
- Neosho County Community CollegeCertificate of Waiver, School or student health service17D2344531
- Neosho County Health DepartmentCertificate of Waiver, Public health laboratory17D0689397
Related
Questions
What is the CLIA number for Walmart 10-111 in Chanute?
17D2159122, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart 10-111 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D2159122 expire?
The CMS file lists December 11, 2026 as the certificate expiration date; the certificate took effect December 12, 2024.