CLIA lab
CLIA 17D0863612: Family Practice Associates
Dodge City, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D0863612 belongs to Family Practice Associates in Dodge City, KS.
Certificate for Provider-Performed Microscopy Procedures, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 9, 1993
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 17D0863612
- Lab name
- Family Practice Associates
- Address
- 120 Ross Blvd, Dodge City, KS 67801
- Phone
- (620) 225-6120
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Brookdale Dodge CityCertificate of Waiver, Assisted living facility17D0971444
- Care To ThriveCertificate of Waiver, Other practitioner17D2170905
- Cargill Health ServicesCertificate of Waiver, Other17D1009926
- Commonspirit Family Practice and PediatricsCertificate of Waiver, Physician office17D2213130
- Commonspirit Internal Medicine Dodge CityCertificate of Waiver, Physician office17D0453114
- Commonspirit Kansas, IncCertificate of Accreditation, Hospital17D0453125
- Craig Homecare, LLC DBA Pediatric Home ServiceCertificate of Waiver, Home health agency17D2050171
- Dillons Pharmacy #01Certificate of Waiver, Pharmacy17D2002764
- Dodge City Family Care ClinicCertificate of Waiver, Rural health clinic17D2002269
Related
Questions
What is the CLIA number for Family Practice Associates in Dodge City?
17D0863612, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Family Practice Associates hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 17D0863612 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.