CLIA lab

CLIA 17D0450866: Andover Medical Clinic

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

CLIA number 17D0450866 belongs to Andover Medical Clinic in Andover, KS.

Certificate of Compliance, effective April 2, 2025, expires April 1, 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 Compliance
Certificate effective
April 2, 2025
Certificate expiration
April 1, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
Facility type
Community clinic
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
17D0450866
Lab name
Andover Medical Clinic
Address
308 East Central, Andover, KS 67002
Phone
(316) 300-4771
Fax
(316) 300-4774

Annual test volume the lab reported

Waived tests
4,736
Other nonwaived tests
1,252
Total
5,988

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

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Related

Questions

What is the CLIA number for Andover Medical Clinic in Andover?

17D0450866, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Andover Medical Clinic hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 17D0450866 expire?

The CMS file lists April 1, 2027 as the certificate expiration date; the certificate took effect April 2, 2025.

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