CLIA lab
CLIA 17D0448589: Family Medicine, Kansas Drive Medical Pavilion
Paola, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D0448589 belongs to Family Medicine, Kansas Drive Medical Pavilion in Paola, KS.
Certificate of Waiver, effective January 1, 2026, expires December 31, 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 1, 2026
- Certificate expiration
- December 31, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 19, 1993
- Facility type
- Physician office
- Ownership (control type)
- Government, other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 17D0448589
- Lab name
- Family Medicine, Kansas Drive Medical Pavilion
- Address
- 1318 Kansas Drive, Paola, KS 66071
- Phone
- (913) 557-5678
Annual test volume the lab reported
- Waived tests
- 1,650
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Paola, KS
- Adventhealth Primary Care at PaolaCertificate of Waiver, Physician office17D0448588
- Arista Recovery Operator at Paola LLCCertificate of Waiver, Other17D2272028
- Auburn Pharmacy#130Certificate of Waiver, Pharmacy17D2208771
- Health Partnership ClinicCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center17D2175601
- Homestead of PaolaCertificate of Waiver, Assisted living facility17D0976383
- Kansas City Urology Care, PACertificate for Provider-Performed Microscopy Procedures, Physician office17D2115313
- Lakemary Center Psychiatric Residential FacilityCertificate of Waiver, Other17D2124141
- Medicalodge of PaolaCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities17D0676947
- Medlen Family CareCertificate of Waiver, Other practitioner17D2144601
- Miami County Emergency Medical ServiceCertificate of Waiver, Ambulance17D0911753
Related
Questions
What is the CLIA number for Family Medicine, Kansas Drive Medical Pavilion in Paola?
17D0448589, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Family Medicine, Kansas Drive Medical Pavilion hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D0448589 expire?
The CMS file lists December 31, 2027 as the certificate expiration date; the certificate took effect January 1, 2026.