CLIA lab
CLIA 17D2163916: Walmart Pharmacy 10-0419
Pratt, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D2163916 belongs to Walmart Pharmacy 10-0419 in Pratt, KS.
Certificate of Waiver, effective March 22, 2025, expires March 21, 2027.
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
- March 22, 2025
- Certificate expiration
- March 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 22, 2019
- 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
- 17D2163916
- Lab name
- Walmart Pharmacy 10-0419
- Address
- 2003 E 1st St, Pratt, KS 67124
- Phone
- (620) 672-7525
- Fax
- (620) 672-2673
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 Pratt, KS
- Dillons Pharmacy #23Certificate of Waiver, Pharmacy17D2019447
- Grace Clinic & Urgent CareCertificate of Waiver, Physician office17D2325124
- Grand Plains Skilled Nursing and RehabilitationCertificate of Waiver, Skilled nursing or nursing facility17D2190719
- Interim Healthcare of Wichita-Pratt Branch/MslCertificate of Waiver, Home health agency17D2211831
- Maydew Thibault Optometry LLCCertificate of Waiver, Other practitioner17D2215236
- Parkwood VillageCertificate of Waiver, Other17D0979257
- Pratt Community College-College HealthCertificate of Waiver, School or student health service17D1044820
- Pratt Community Health Clinic, LLCCertificate of Waiver, Physician office17D2276748
- Pratt County EMSCertificate of Waiver, Ambulance17D2144638
- Pratt County Health DepartmentCertificate of Waiver, Community clinic17D0666195
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-0419 in Pratt?
17D2163916, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-0419 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D2163916 expire?
The CMS file lists March 21, 2027 as the certificate expiration date; the certificate took effect March 22, 2025.