CLIA lab
CLIA 17D2201074: Gibson's Pharmacy
Dodge City, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D2201074 belongs to Gibson's Pharmacy in Dodge City, KS.
Certificate of Waiver, effective November 18, 2024, expires November 17, 2026.
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
- November 18, 2024
- Certificate expiration
- November 17, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 18, 2020
- 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
- 17D2201074
- Lab name
- Gibson's Pharmacy
- Address
- 2401 Central Ave, Dodge City, KS 67801
- Phone
- (620) 227-8093
- Fax
- (620) 227-8006
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Care To ThriveCertificate of Waiver, Other practitioner17D2170905
- Cargill Health ServicesCertificate of Waiver, Other17D1009926
- Commonspirit Family Practice and PediatricsCertificate of Waiver, Physician office17D2213130
- Commonspirit Internal Medicine Dodge CityCertificate of Waiver, Physician office17D0453114
- Commonspirit Kansas, IncCertificate of Accreditation, Hospital17D0453125
- Craig Homecare, LLC DBA Pediatric Home ServiceCertificate of Waiver, Home health agency17D2050171
- Dillons Pharmacy #01Certificate of Waiver, Pharmacy17D2002764
- Dodge City Family Care ClinicCertificate of Waiver, Rural health clinic17D2002269
Related
Questions
What is the CLIA number for Gibson's Pharmacy in Dodge City?
17D2201074, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Gibson's Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D2201074 expire?
The CMS file lists November 17, 2026 as the certificate expiration date; the certificate took effect November 18, 2024.