CLIA lab
CLIA 17D2167055: Walmart Pharmacy 10-3103
Goddard, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D2167055 belongs to Walmart Pharmacy 10-3103 in Goddard, 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
- 17D2167055
- Lab name
- Walmart Pharmacy 10-3103
- Address
- 18631 W Kellogg Dr, Goddard, KS 67052
- Phone
- (316) 347-2098
- Fax
- (316) 347-2099
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 Goddard, KS
- Dove Estates Senior LivingCertificate of Waiver, Assisted living facility17D2332636
- Erker Clinic LLCCertificate of Waiver, Other practitioner17D2260840
- Medicalodges GoddardCertificate of Waiver, Skilled nursing or nursing facility17D0451032
- Penta I, LLCCertificate of Waiver, Assisted living facility17D2332630
- Usd 265 Goddard Public SchoolsCertificate of Waiver, School or student health service17D2233219
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-3103 in Goddard?
17D2167055, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-3103 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D2167055 expire?
The CMS file lists May 30, 2027 as the certificate expiration date; the certificate took effect May 31, 2025.