CLIA lab

CLIA 17D0687096: Southwest Family Medicine LLC

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

CLIA number 17D0687096 belongs to Southwest Family Medicine LLC in Liberal, KS.

Certificate of Waiver, effective April 7, 2025, expires April 6, 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

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Waiver
Certificate effective
April 7, 2025
Certificate expiration
April 6, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 23, 1993
Facility type
Other practitioner
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
17D0687096
Lab name
Southwest Family Medicine LLC
Address
102 E 11th Street, Liberal, KS 67901
Phone
(620) 624-2565
Fax
(620) 624-3016

Annual test volume the lab reported

Waived tests
1,600

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

Other labs in Liberal, KS

Related

Questions

What is the CLIA number for Southwest Family Medicine LLC in Liberal?

17D0687096, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Southwest Family Medicine LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 17D0687096 expire?

The CMS file lists April 6, 2027 as the certificate expiration date; the certificate took effect April 7, 2025.

Try it on your own data today.

Free to start. Most teams are using it the same day.