CLIA lab
CLIA 17D0876180: Sylvan Medical Clinic
Sylvan Grove, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D0876180 belongs to Sylvan Medical Clinic in Sylvan Grove, KS.
Certificate of Waiver, effective September 15, 2025, expires September 14, 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 of Waiver
- Certificate effective
- September 15, 2025
- Certificate expiration
- September 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 15, 1993
- Facility type
- Rural health clinic
- Ownership (control type)
- Government, county
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 17D0876180
- Lab name
- Sylvan Medical Clinic
- Address
- 219 N Main, Sylvan Grove, KS 67481
- Phone
- (785) 524-4474
- Fax
- (785) 524-5320
Annual test volume the lab reported
- Waived tests
- 5
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Related
Questions
What is the CLIA number for Sylvan Medical Clinic in Sylvan Grove?
17D0876180, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sylvan Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D0876180 expire?
The CMS file lists September 14, 2027 as the certificate expiration date; the certificate took effect September 15, 2025.