CLIA lab

CLIA 17D0886466: Evergreen Community of Johnson County

Olathe, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 17D0886466 belongs to Evergreen Community of Johnson County in Olathe, KS.

Certificate of Waiver, effective May 19, 2026, expires May 18, 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
May 19, 2026
Certificate expiration
May 18, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 19, 1994
Facility type
Skilled nursing or nursing facility
Ownership (control type)
Other
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
17D0886466
Lab name
Evergreen Community of Johnson County
Address
11875 S Sunset Drive, Suite 100, Olathe, KS 66061
Phone
(913) 477-8235
Fax
(913) 477-8001

Annual test volume the lab reported

Waived tests
5,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Care facility at this address

Other labs in Olathe, KS

Related

Questions

What is the CLIA number for Evergreen Community of Johnson County in Olathe?

17D0886466, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Evergreen Community of Johnson County hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 17D0886466 expire?

The CMS file lists May 18, 2028 as the certificate expiration date; the certificate took effect May 19, 2026.

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