CLIA lab

CLIA 17D2164799: Walmart Pharmacy 10-799

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

CLIA number 17D2164799 belongs to Walmart Pharmacy 10-799 in Liberal, KS.

Certificate of Waiver, effective April 15, 2025, expires April 14, 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
April 15, 2025
Certificate expiration
April 14, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 15, 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
17D2164799
Lab name
Walmart Pharmacy 10-799
Address
250 E Tucker Rd, Liberal, KS 67901
Phone
(620) 626-4240
Fax
(620) 626-4239

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 Liberal, KS

Related

Questions

What is the CLIA number for Walmart Pharmacy 10-799 in Liberal?

17D2164799, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart Pharmacy 10-799 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 17D2164799 expire?

The CMS file lists April 14, 2027 as the certificate expiration date; the certificate took effect April 15, 2025.

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