CLIA lab
CLIA 17D0450981: Tanglewood Medical Center PA
Derby, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D0450981 belongs to Tanglewood Medical Center PA in Derby, KS.
Certificate of Compliance, effective December 15, 2025, expires December 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 Compliance
- Certificate effective
- December 15, 2025
- Certificate expiration
- December 14, 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
- 17D0450981
- Lab name
- Tanglewood Medical Center PA
- Address
- 606 N Mulberry Road, Derby, KS 67037
- Phone
- (316) 788-3787
- Fax
- (316) 788-6930
Annual test volume the lab reported
- Waived tests
- 3,000
- Other nonwaived tests
- 3,000
- Total
- 6,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Derby, KS
- Ascension Medical Group Via Christi, PA - DerbyCertificate of Waiver, Physician office17D0936343
- Brookdale DerbyCertificate of Waiver, Assisted living facility17D0977931
- Children's MercyCertificate of Waiver, Physician office17D1097030
- Damm PharmacyCertificate of Waiver, Pharmacy17D2268331
- Derby Assisted LivingCertificate of Waiver, Assisted living facility17D2191990
- Derby DermCertificate of Waiver, Other practitioner17D1097910
- Derby DrugCertificate of Waiver, Pharmacy17D2182663
- Derby Family MedcenterCertificate of Accreditation, Physician office17D0450969
- Derby Health & RehabilitationCertificate of Waiver, Skilled nursing or nursing facility17D1107812
- Derby Public SchoolsCertificate of Waiver, School or student health service17D0952276
Related
Questions
What is the CLIA number for Tanglewood Medical Center PA in Derby?
17D0450981, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tanglewood Medical Center PA hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 17D0450981 expire?
The CMS file lists December 14, 2027 as the certificate expiration date; the certificate took effect December 15, 2025.