CLIA lab
CLIA 17D2159630: Walmart Pharmacy 10-2490
Roeland Park, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D2159630 belongs to Walmart Pharmacy 10-2490 in Roeland Park, 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
- 17D2159630
- Lab name
- Walmart Pharmacy 10-2490
- Address
- 5150 Roe Blvd, Roeland Park, KS 66205
- Phone
- (913) 236-8778
- Fax
- (913) 236-7157
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 Roeland Park, KS
- Adventhealth Imaging Center Roeland ParkCertificate of Waiver, Ambulatory surgery center17D2221797
- Price Chopper Pharmacy #12Certificate of Waiver, Pharmacy17D2182340
- Saint Luke's South Roeland ParkCertificate of Accreditation, Hospital17D2146466
- Sunflower Medical Group PACertificate of Accreditation, Physician office17D0448967
- Walgreens #4185Certificate of Waiver, Pharmacy17D1088398
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-2490 in Roeland Park?
17D2159630, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-2490 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D2159630 expire?
The CMS file lists December 19, 2026 as the certificate expiration date; the certificate took effect December 20, 2024.