CLIA lab
CLIA 17D0965424: Augusta Family Practice
Augusta, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D0965424 belongs to Augusta Family Practice in Augusta, KS.
Certificate of Waiver, effective September 21, 2025, expires September 20, 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
- September 21, 2025
- Certificate expiration
- September 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 21, 1999
- Facility type
- Physician office
- Ownership (control type)
- Unknown
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 17D0965424
- Lab name
- Augusta Family Practice
- Address
- 1306 State Street, Augusta, KS 67010
- Phone
- (316) 775-9191
- Fax
- (316) 775-0348
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Augusta, KS
- Ada Camp DiscoveryCertificate of Waiver, Other17D2304133
- Augusta Immediate Care ClinicCertificate of Waiver, Community clinic17D2157178
- Cooper Drug, IncCertificate of Waiver, Pharmacy17D2026252
- Dillons Pharmacy #18Certificate of Waiver, Pharmacy17D2028169
- Harder Family Practice, PACertificate for Provider-Performed Microscopy Procedures, Physician office17D1008887
- Homestead of AugustaCertificate of Waiver, Assisted living facility17D0973164
- Lakepoint Augusta, LLCCertificate of Waiver, Skilled nursing or nursing facility17D0874837
- Unified School District 402Certificate of Waiver, School or student health service17D1010704
- Walmart Pharmacy 10-346Certificate of Waiver, Pharmacy17D2159928
Related
Questions
What is the CLIA number for Augusta Family Practice in Augusta?
17D0965424, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Augusta Family Practice hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D0965424 expire?
The CMS file lists September 20, 2027 as the certificate expiration date; the certificate took effect September 21, 2025.