CLIA lab
CLIA 17D2176434: Clark Pharmacy
Cimarron, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D2176434 belongs to Clark Pharmacy in Cimarron, KS.
Certificate of Waiver, effective December 13, 2025, expires December 12, 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
- December 13, 2025
- Certificate expiration
- December 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 13, 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
- 17D2176434
- Lab name
- Clark Pharmacy
- Address
- 104 S Main, Cimarron, KS 67835
- Phone
- (620) 855-2242
- Fax
- (620) 855-3616
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Cimarron, KS
- Commonspirit Primary Care CimarronCertificate of Waiver, Physician office17D2051820
- Gray County EMSCertificate of Waiver, Ambulance17D2090775
- Gray County Health DeptCertificate of Waiver, Community clinic17D0664889
- Pinnacle Pharmacy Group, IncCertificate of Waiver, Pharmacy17D2194255
- Shepherd's Center, theCertificate of Waiver, Skilled nursing or nursing facility17D0662247
Related
Questions
What is the CLIA number for Clark Pharmacy in Cimarron?
17D2176434, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Clark Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D2176434 expire?
The CMS file lists December 12, 2027 as the certificate expiration date; the certificate took effect December 13, 2025.