CLIA lab

CLIA 26D2120091: Walmart Pharmacy 10-4590

Lees Summit, MO. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 26D2120091 belongs to Walmart Pharmacy 10-4590 in Lees Summit, MO.

Certificate of Waiver, effective October 11, 2024, expiration date October 10, 2026.

The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.

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
October 11, 2024
Certificate expiration
October 10, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
October 11, 2016
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
26D2120091
Lab name
Walmart Pharmacy 10-4590
Address
3410 SW Market Street, Lees Summit, MO 64082
Phone
(479) 258-2243
Fax
(479) 204-0980

Annual test volume the lab reported

Waived tests
5,000

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 Walmart Pharmacy 10-4590 in Lees Summit?

26D2120091, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart Pharmacy 10-4590 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 26D2120091 expire?

The CMS file lists October 10, 2026 as the certificate expiration date; the certificate took effect October 11, 2024.

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