CLIA lab
CLIA 17D0949025: Family Medicine Gardner Edgerton Medical Pavilion
Gardner, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D0949025 belongs to Family Medicine Gardner Edgerton Medical Pavilion in Gardner, KS.
Certificate of Waiver, effective July 21, 2026, expires July 20, 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
- July 21, 2026
- Certificate expiration
- July 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 23, 1998
- Facility type
- Physician office
- Ownership (control type)
- Government, state
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 17D0949025
- Lab name
- Family Medicine Gardner Edgerton Medical Pavilion
- Address
- 29475 West 189th Terrace, Gardner, KS 66030
- Phone
- (913) 856-5577
- Fax
- (913) 856-3907
Annual test volume the lab reported
- Waived tests
- 18,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Gardner, KS
- DRS Hawks, Besler & Rogers, PACertificate of Waiver, Physician office17D2045862
- First Point Urgent Care Inc KSCertificate of Waiver, Physician office17D2161970
- Gardner DialysisCertificate of Waiver, End stage renal disease dialysis facility17D2080175
- Happy Kids Pediatrics, LLCCertificate of Waiver, Physician office17D2272756
- Homestead of GardnerCertificate of Waiver, Assisted living facility17D0978758
- I360mdCertificate of Waiver, Physician office17D2345984
- Jeurink Family Chiropractic & Wellness CenterCertificate of Waiver, Other practitioner17D2206372
- Kansas CVS Pharmacy, LLCCertificate of Waiver, Pharmacy17D2225740
- Meadowbrook Rehabilitation HospitalCertificate of Waiver, Ancillary test site17D0448135
- Primary Care of KansasCertificate of Waiver, Physician office17D2273647
Related
Questions
What is the CLIA number for Family Medicine Gardner Edgerton Medical Pavilion in Gardner?
17D0949025, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Family Medicine Gardner Edgerton Medical Pavilion hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D0949025 expire?
The CMS file lists July 20, 2028 as the certificate expiration date; the certificate took effect July 21, 2026.