CLIA lab
CLIA 17D0915738: Ukhs Great Bend LLC DBA Medical Pavilion
Great Bend, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D0915738 belongs to Ukhs Great Bend LLC DBA Medical Pavilion in Great Bend, KS.
Certificate for Provider-Performed Microscopy Procedures, effective August 29, 2025, expires August 28, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- August 29, 2025
- Certificate expiration
- August 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 5, 1996
- Facility type
- Rural health clinic
- 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
- 17D0915738
- Lab name
- Ukhs Great Bend LLC DBA Medical Pavilion
- Address
- 514 Cleveland Street, Great Bend, KS 67530
- Phone
- (620) 792-2151
- Fax
- (620) 791-6848
Annual test volume the lab reported
- Waived tests
- 3,500
- Provider-performed microscopy tests
- 200
- Total
- 3,700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Great Bend, KS
- Azria Health-WoodhavenCertificate of Waiver, Skilled nursing or nursing facility17D0452741
- Barton County Health DeptCertificate for Provider-Performed Microscopy Procedures, Community clinic17D0667296
- Brookdale Great BendCertificate of Waiver, Assisted living facility17D0981081
- Center for Counseling & ConsultationCertificate of Waiver, Other17D2187387
- College Health Center Barton Co CCCertificate of Waiver, School or student health service17D0863766
- Dillons Pharmacy #51Certificate of Waiver, Pharmacy17D2042490
- Fresenius Medical Care Great BendCertificate of Waiver, End stage renal disease dialysis facility17D0883079
- Golden Belt Home Health and HospiceCertificate of Waiver, Hospice17D0927085
- Great Bend Children's ClinicCertificate of Waiver, Rural health clinic17D0667345
- Great Bend Fire & EMSCertificate of Waiver, Ambulance17D0938923
Related
Questions
What is the CLIA number for Ukhs Great Bend LLC DBA Medical Pavilion in Great Bend?
17D0915738, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ukhs Great Bend LLC DBA Medical Pavilion hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 17D0915738 expire?
The CMS file lists August 28, 2027 as the certificate expiration date; the certificate took effect August 29, 2025.