CLIA lab

CLIA 17D0452732: Ukhs Family Medicine

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

CLIA number 17D0452732 belongs to Ukhs Family Medicine in Great Bend, KS.

Certificate of Waiver, effective September 12, 2025, expires September 11, 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
September 12, 2025
Certificate expiration
September 11, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 8, 1993
Facility type
Rural health 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
17D0452732
Lab name
Ukhs Family Medicine
Address
1309 Polk St, Great Bend, KS 67530
Phone
(620) 792-5341
Fax
(620) 792-3702

Annual test volume the lab reported

Waived tests
112

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

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Questions

What is the CLIA number for Ukhs Family Medicine in Great Bend?

17D0452732, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ukhs Family Medicine hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 17D0452732 expire?

The CMS file lists September 11, 2027 as the certificate expiration date; the certificate took effect September 12, 2025.

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