CLIA lab
CLIA 17D2164800: Walmart Pharmacy 10-770
Great Bend, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D2164800 belongs to Walmart Pharmacy 10-770 in Great Bend, 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
- 17D2164800
- Lab name
- Walmart Pharmacy 10-770
- Address
- 3503 10th St, Great Bend, KS 67530
- Phone
- (620) 792-5237
- Fax
- (620) 792-5239
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 Great Bend, KS
- Azria Health-WoodhavenCertificate of Waiver, Skilled nursing or nursing facility17D0452741
- Barton County Health DeptCertificate for Provider-Performed Microscopy Procedures, Community clinic17D0667296
- Brookdale Great BendCertificate of Waiver, Assisted living facility17D0981081
- Center for Counseling & ConsultationCertificate of Waiver, Other17D2187387
- College Health Center Barton Co CCCertificate of Waiver, School or student health service17D0863766
- Dillons Pharmacy #51Certificate of Waiver, Pharmacy17D2042490
- Fresenius Medical Care Great BendCertificate of Waiver, End stage renal disease dialysis facility17D0883079
- Golden Belt Home Health and HospiceCertificate of Waiver, Hospice17D0927085
- Great Bend Children's ClinicCertificate of Waiver, Rural health clinic17D0667345
- Great Bend Fire & EMSCertificate of Waiver, Ambulance17D0938923
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-770 in Great Bend?
17D2164800, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-770 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D2164800 expire?
The CMS file lists April 14, 2027 as the certificate expiration date; the certificate took effect April 15, 2025.