17D2159624 CLIA NUMBER - WALMART PHARMACY 6172

Laboratory Demographics

  • CLIA Code: 17D2159624
  • Facility Name: WALMART PHARMACY 6172
  • Facility Address: 2300 METROPOLITAN AVE
    KANSAS CITY, KS
    ZIP 66106
  • Facility Phone: 913 748-0502
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTY C. CLUFF
  • NPI Number: 1497165807
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2159624
LAB Type Pharmacy
Facility Name WALMART PHARMACY 6172
Street 2300 METROPOLITAN AVE
City KANSAS CITY
State KS
ZIP 66106
Phone 913 748-0502
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Pharmacy
Lab Director KRISTY C. CLUFF

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This page was last updated on: 9/29/2025