CLIA lab

CLIA 17D0450635: Pittsburg Internal Medicine

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

CLIA number 17D0450635 belongs to Pittsburg Internal Medicine in Pittsburg, KS.

Certificate for Provider-Performed Microscopy Procedures, effective August 17, 2025, expires August 16, 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 for Provider-Performed Microscopy Procedures
Certificate effective
August 17, 2025
Certificate expiration
August 16, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
Facility type
Physician office
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
17D0450635
Lab name
Pittsburg Internal Medicine
Additional name
Mark Carlson, MD
Address
2401 South Tucker Avenue Suite 1, Pittsburg, KS 66762
Phone
(620) 231-1650
Fax
(620) 231-1685

Other labs in Pittsburg, KS

Related

Questions

What is the CLIA number for Pittsburg Internal Medicine in Pittsburg?

17D0450635, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pittsburg Internal Medicine hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 17D0450635 expire?

The CMS file lists August 16, 2027 as the certificate expiration date; the certificate took effect August 17, 2025.

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