CLIA lab
CLIA 17D0864034: Usd 396
Douglass, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D0864034 belongs to Usd 396 in Douglass, 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
- March 10, 1993
- Facility type
- School or student health service
- Ownership (control type)
- Government, state
- 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
- 17D0864034
- Lab name
- Usd 396
- Address
- 921 East 1st Street, Douglass, KS 67039
- Phone
- (316) 746-2183
Annual test volume the lab reported
- Waived tests
- 1,037
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Usd 396 in Douglass?
17D0864034, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Usd 396 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D0864034 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.