CLIA lab
CLIA 17D2167054: Walmart Pharmacy #5308
Shawnee, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D2167054 belongs to Walmart Pharmacy #5308 in Shawnee, KS.
Certificate of Waiver, effective May 31, 2025, expires May 30, 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
- May 31, 2025
- Certificate expiration
- May 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 31, 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
- 17D2167054
- Lab name
- Walmart Pharmacy #5308
- Address
- 11010 W 74th Ter, Shawnee, KS 66203
- Phone
- (913) 268-4012
- Fax
- (913) 268-4792
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Shawnee, KS
- Align Family Health & Wellness Center LLCCertificate of Waiver, Other practitioner17D2264603
- Alliance Healing Hospice & Palliative Care LLCCertificate of Waiver, Hospice17D2217863
- Anew Health LLCCertificate of Waiver, Hospital17D2193384
- Appl Orchard HospiceCertificate of Waiver, Hospice17D2171463
- Aquinas Home HealthCertificate of Waiver, Home health agency17D0911077
- Aquinas-Carondelet Home HealthCertificate of Waiver, Home health agency17D0688472
- Arc Sweet Life Rosehill, LLCCertificate of Waiver, Skilled nursing or nursing facility17D1011208
- Brookdale ShawneeCertificate of Waiver, Assisted living facility17D0973860
- Cardiovascular Medicine - SwitzerCertificate of Compliance, Physician office17D2255427
- City of Shawnee Fire DepartmentCertificate of Waiver, Other practitioner17D2160217
Related
Questions
What is the CLIA number for Walmart Pharmacy #5308 in Shawnee?
17D2167054, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy #5308 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D2167054 expire?
The CMS file lists May 30, 2027 as the certificate expiration date; the certificate took effect May 31, 2025.