CLIA lab
CLIA 17D2183323: Four States Pharmacy
Galena, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D2183323 belongs to Four States Pharmacy in Galena, KS.
Certificate of Waiver, effective May 4, 2026, expires May 3, 2028.
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 4, 2026
- Certificate expiration
- May 3, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 4, 2020
- Facility type
- Independent
- 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
- 17D2183323
- Lab name
- Four States Pharmacy
- Address
- 1605 Hwy K 66, Ste B, Galena, KS 66739
- Phone
- (620) 783-1636
- Fax
- (620) 783-1690
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Galena, KS
- Galena Endocrinology and Weight ManagementCertificate of Waiver, Physician office17D2307008
- Galena Nursing & Rehabilitation CenterCertificate of Waiver, Skilled nursing or nursing facility17D0870678
- Manzer Family Medicine, LLCCertificate of Waiver, Physician office17D2071780
- Mercy Clinic GalenaCertificate of Waiver, Physician office17D1060894
- Mercy Clinic Joplin LLCCertificate of Waiver, Physician office26D1105800
- Mercy Specialty Hospital - Southeast KansasCertificate of Compliance, Hospital17D2048832
- Mercy Specialty Hospital Southeast Kansas IncCertificate of Waiver, Hospital17D2003088
Related
Questions
What is the CLIA number for Four States Pharmacy in Galena?
17D2183323, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Four States Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D2183323 expire?
The CMS file lists May 3, 2028 as the certificate expiration date; the certificate took effect May 4, 2026.