CLIA lab
CLIA 17D0448893: Edwardsville Operator, LLC
Edwardsville, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D0448893 belongs to Edwardsville Operator, LLC in Edwardsville, KS.
Certificate of Waiver, effective September 1, 2026, expires August 31, 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
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 8, 1993
- Facility type
- Skilled nursing or nursing facility
- 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
- 17D0448893
- Lab name
- Edwardsville Operator, LLC
- Address
- 751 Blake Street, Edwardsville, KS 66111
- Phone
- (913) 441-1900
- Fax
- (913) 441-0410
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.
Care facility at this address
- Edwardsville Care and RehabCMS Care Compare ratings for the facility at the same street address
Other labs in Edwardsville, KS
Related
Questions
What is the CLIA number for Edwardsville Operator, LLC in Edwardsville?
17D0448893, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Edwardsville Operator, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D0448893 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.