CLIA lab

CLIA 17D0950654: Homestead of Derby

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

CLIA number 17D0950654 belongs to Homestead of Derby in Derby, KS.

Certificate of Waiver, effective September 8, 2026, expires September 7, 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
September 8, 2026
Certificate expiration
September 7, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 8, 1998
Facility type
Assisted living facility
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
17D0950654
Lab name
Homestead of Derby
Address
1701 Walnut Grove Road, Derby, KS 67037
Phone
(785) 228-7971
Fax
(785) 272-1480

Annual test volume the lab reported

Waived tests
250

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

Other labs in Derby, KS

Related

Questions

What is the CLIA number for Homestead of Derby in Derby?

17D0950654, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Homestead of Derby hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 17D0950654 expire?

The CMS file lists September 7, 2028 as the certificate expiration date; the certificate took effect September 8, 2026.

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