CLIA lab

CLIA 17D0667345: Great Bend Children's Clinic

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

CLIA number 17D0667345 belongs to Great Bend Children's Clinic in Great Bend, KS.

Certificate of Waiver, effective September 1, 2026, expires August 31, 2028.

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 1, 2026
Certificate expiration
August 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 18, 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
17D0667345
Lab name
Great Bend Children's Clinic
Address
1021 Eisenhower, Great Bend, KS 67530
Phone
(620) 792-5437
Fax
(620) 792-1635

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.

Other labs in Great Bend, KS

Related

Questions

What is the CLIA number for Great Bend Children's Clinic in Great Bend?

17D0667345, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Great Bend Children's Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 17D0667345 expire?

The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.

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