CLIA lab

CLIA 17D0449740: Stormont Vail Health Carbondale

Carbondale, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 17D0449740 belongs to Stormont Vail Health Carbondale in Carbondale, KS.

Certificate of Waiver, effective June 9, 2026, expires June 8, 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
June 9, 2026
Certificate expiration
June 8, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 4, 1993
Facility type
Physician office
Ownership (control type)
Private
Lab classification
CLIA laboratory
Directly affiliated labs
20

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
17D0449740
Lab name
Stormont Vail Health Carbondale
Address
211 E Main, Carbondale, KS 66414
Phone
(785) 354-6863
Fax
(785) 354-5103

Annual test volume the lab reported

Waived tests
1,200

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Carbondale, KS

Related

Questions

What is the CLIA number for Stormont Vail Health Carbondale in Carbondale?

17D0449740, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Stormont Vail Health Carbondale hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 17D0449740 expire?

The CMS file lists June 8, 2028 as the certificate expiration date; the certificate took effect June 9, 2026.

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