CLIA lab
CLIA 17D0687168: Adult and Pediatric Dermatology
Overland Park, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D0687168 belongs to Adult and Pediatric Dermatology in Overland Park, KS.
Certificate for Provider-Performed Microscopy Procedures, effective September 1, 2025, expires August 31, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- September 1, 2025
- Certificate expiration
- August 31, 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
- 17D0687168
- Lab name
- Adult and Pediatric Dermatology
- Address
- 4601 W 109th St Suite 116, Overland Park, KS 66211
- Phone
- (913) 469-1115
- Fax
- (913) 948-9164
Annual test volume the lab reported
- Waived tests
- 500
- Provider-performed microscopy tests
- 24
- Total
- 524
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Overland Park, KS
- Acg Kansas, LLC DBA Acg HospiceCertificate of Waiver, Hospice17D2287308
- Ads Ambulatory Surgery CenterCertificate of Waiver, Ambulatory surgery center17D2213125
- Advanced Dermatologic SurgeryCertificate of Compliance, Physician office17D0890923
- Advanced Healthcare of Overland ParkCertificate of Waiver, Skilled nursing or nursing facility17D2075137
- Advanced Reproductive MedicineCertificate of Compliance, Physician office17D0934854
- Advanced Urologic Associates, IncCertificate for Provider-Performed Microscopy Procedures, Physician office17D2177111
- Advent Health Overland ParkCertificate of Waiver, Hospital17D2159837
- Adventhealth Centra Care Overland ParkCertificate of Waiver, Other17D2101229
- Adventhealth Internal Medicine and PediatricsCertificate of Waiver, Health maintenance organization17D2079529
- Adventhealth MedicalCertificate of Waiver, Physician office17D2134548
Related
Questions
What is the CLIA number for Adult and Pediatric Dermatology in Overland Park?
17D0687168, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Adult and Pediatric Dermatology hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 17D0687168 expire?
The CMS file lists August 31, 2027 as the certificate expiration date; the certificate took effect September 1, 2025.