CLIA lab
CLIA 17D0880920: Pratt Internal Medicine Group
Pratt, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D0880920 belongs to Pratt Internal Medicine Group in Pratt, KS.
Certificate of Waiver, effective December 30, 2025, expires December 29, 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
- December 30, 2025
- Certificate expiration
- December 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 30, 1993
- 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
- 17D0880920
- Lab name
- Pratt Internal Medicine Group
- Address
- 420 Country Club Road, Pratt, KS 67124
- Phone
- (620) 672-7411
Annual test volume the lab reported
- Waived tests
- 2,100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Pratt, KS
- Dillons Pharmacy #23Certificate of Waiver, Pharmacy17D2019447
- Grace Clinic & Urgent CareCertificate of Waiver, Physician office17D2325124
- Grand Plains Skilled Nursing and RehabilitationCertificate of Waiver, Skilled nursing or nursing facility17D2190719
- Interim Healthcare of Wichita-Pratt Branch/MslCertificate of Waiver, Home health agency17D2211831
- Maydew Thibault Optometry LLCCertificate of Waiver, Other practitioner17D2215236
- Parkwood VillageCertificate of Waiver, Other17D0979257
- Pratt Community College-College HealthCertificate of Waiver, School or student health service17D1044820
- Pratt Community Health Clinic, LLCCertificate of Waiver, Physician office17D2276748
- Pratt County EMSCertificate of Waiver, Ambulance17D2144638
- Pratt County Health DepartmentCertificate of Waiver, Community clinic17D0666195
Related
Questions
What is the CLIA number for Pratt Internal Medicine Group in Pratt?
17D0880920, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pratt Internal Medicine Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D0880920 expire?
The CMS file lists December 29, 2027 as the certificate expiration date; the certificate took effect December 30, 2025.