CLIA lab
CLIA 17D2343712: Mulvane Pharmacy
Mulvane, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D2343712 belongs to Mulvane Pharmacy in Mulvane, KS.
Certificate of Waiver, effective May 12, 2026, expires May 11, 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 12, 2026
- Certificate expiration
- May 11, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 12, 2026
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 5
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 17D2343712
- Lab name
- Mulvane Pharmacy
- Address
- 1008 SE Louis Dr, Mulvane, KS 67110
- Phone
- (316) 777-1601
- Fax
- (316) 777-1693
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Mulvane, KS
- Ascension Medical Group Via Christ PA MulvaneCertificate of Waiver, Physician office17D0697749
- Maria CourtCertificate of Waiver, Other17D0994564
- Mulvane EMSCertificate of Waiver, Ambulance17D2131890
- Mulvane Family MedcenterCertificate of Waiver, Physician office17D0973321
- Villa Maria IncCertificate of Waiver, Skilled nursing or nursing facility17D0648305
Related
Questions
What is the CLIA number for Mulvane Pharmacy in Mulvane?
17D2343712, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mulvane Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D2343712 expire?
The CMS file lists May 11, 2028 as the certificate expiration date; the certificate took effect May 12, 2026.