CLIA lab
CLIA 17D0450939: Caldwell Family Clinic
Caldwell, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D0450939 belongs to Caldwell Family Clinic in Caldwell, KS.
Certificate of Waiver, effective August 15, 2025, expires August 14, 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
- August 15, 2025
- Certificate expiration
- August 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 11, 1993
- Facility type
- Public health laboratory
- Ownership (control type)
- Government, other
- 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
- 17D0450939
- Lab name
- Caldwell Family Clinic
- Address
- 761 West 175th Street South, Rhc Suite #1, Caldwell, KS 67022
- Phone
- (620) 845-2516
- Fax
- (620) 845-2519
Annual test volume the lab reported
- Waived tests
- 400
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 Caldwell Family Clinic in Caldwell?
17D0450939, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Caldwell Family Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D0450939 expire?
The CMS file lists August 14, 2027 as the certificate expiration date; the certificate took effect August 15, 2025.