CLIA lab
CLIA 17D0452201: Coffeyville Family Practice Clinic
Coffeyville, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D0452201 belongs to Coffeyville Family Practice Clinic in Coffeyville, KS.
Certificate of Accreditation, effective December 2, 2024, expires December 1, 2026.
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 Accreditation
- Certificate effective
- December 2, 2024
- Certificate expiration
- December 1, 2026
- 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
- Accrediting organizations
- COLA
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 17D0452201
- Lab name
- Coffeyville Family Practice Clinic
- Address
- 209 W 7th St, Coffeyville, KS 67337
- Phone
- (620) 251-5410
- Fax
- (620) 251-7466
Annual test volume the lab reported
- Waived tests
- 5,280
- Tests under accreditation
- 75,268
- Total
- 80,548
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Coffeyville, KS
- Asbury VillageCertificate of Waiver, Other17D0972227
- Ascension Medical Group ST John CoffeyvilleCertificate of Waiver, Physician office17D1037653
- Coffeyville Community CollegeCertificate of Waiver, School or student health service17D0925486
- Coffeyville Regional Medical CenterCertificate of Accreditation, Hospital17D0452202
- Community Health CenterCertificate of Waiver, Federally qualified health center17D2193920
- Community Health CenterCertificate of Waiver, Federally qualified health center17D2193924
- Community Health Center of Southeast Kansas, IncCertificate of Waiver, Federally qualified health center17D2163904
- Crmc Medical GroupCertificate of Waiver, Rural health clinic17D1035082
- Gran Villas Coffeyville on 8thCertificate of Waiver, Skilled nursing or nursing facility17D0997630
- Gran Villas Coffeyville on TylerCertificate of Waiver, Skilled nursing or nursing facility17D0974151
Related
Questions
What is the CLIA number for Coffeyville Family Practice Clinic in Coffeyville?
17D0452201, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Coffeyville Family Practice Clinic hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 17D0452201 expire?
The CMS file lists December 1, 2026 as the certificate expiration date; the certificate took effect December 2, 2024.