CLIA lab

CLIA 17D2208771: Auburn Pharmacy#130

Paola, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 17D2208771 belongs to Auburn Pharmacy#130 in Paola, KS.

Certificate of Waiver, effective January 8, 2025, expires January 7, 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
January 8, 2025
Certificate expiration
January 7, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 8, 2021
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
17D2208771
Lab name
Auburn Pharmacy#130
Address
311 N Hospital Drive, Paola, KS 66071
Phone
(913) 294-3516
Fax
(913) 294-8411

Annual test volume the lab reported

Waived tests
150

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Auburn Pharmacy#130 in Paola?

17D2208771, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Auburn Pharmacy#130 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 17D2208771 expire?

The CMS file lists January 7, 2027 as the certificate expiration date; the certificate took effect January 8, 2025.

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