CLIA lab

CLIA 17D2159628: Walmart Pharmacy 10-2562

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

CLIA number 17D2159628 belongs to Walmart Pharmacy 10-2562 in Goodland, KS.

Certificate of Waiver, effective December 20, 2024, expires December 19, 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 20, 2024
Certificate expiration
December 19, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 20, 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
17D2159628
Lab name
Walmart Pharmacy 10-2562
Address
2160 Commerce Road, Goodland, KS 67735
Phone
(706) 335-7818
Fax
(706) 335-7685

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 Pharmacy 10-2562 in Goodland?

17D2159628, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart Pharmacy 10-2562 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 17D2159628 expire?

The CMS file lists December 19, 2026 as the certificate expiration date; the certificate took effect December 20, 2024.

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