CLIA lab
CLIA 17D0974151: Gran Villas Coffeyville on Tyler
Coffeyville, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D0974151 belongs to Gran Villas Coffeyville on Tyler in Coffeyville, KS.
Certificate of Waiver, effective May 30, 2026, expires May 29, 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 30, 2026
- Certificate expiration
- May 29, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 30, 2000
- Facility type
- Skilled nursing or nursing 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
- 17D0974151
- Lab name
- Gran Villas Coffeyville on Tyler
- Address
- 106 Tyler, Coffeyville, KS 67337
- Phone
- (620) 251-0214
- Fax
- (620) 709-0483
Annual test volume the lab reported
- Waived tests
- 3,650
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Coffeyville, KS
- Asbury VillageCertificate of Waiver, Other17D0972227
- Ascension Medical Group ST John CoffeyvilleCertificate of Waiver, Physician office17D1037653
- Coffeyville Community CollegeCertificate of Waiver, School or student health service17D0925486
- Coffeyville Family Practice ClinicCertificate of Accreditation, Physician office17D0452201
- Coffeyville Regional Medical CenterCertificate of Accreditation, Hospital17D0452202
- Community Health CenterCertificate of Waiver, Federally qualified health center17D2193920
- Community Health CenterCertificate of Waiver, Federally qualified health center17D2193924
- Community Health Center of Southeast Kansas, IncCertificate of Waiver, Federally qualified health center17D2163904
- Crmc Medical GroupCertificate of Waiver, Rural health clinic17D1035082
- Gran Villas Coffeyville on 8thCertificate of Waiver, Skilled nursing or nursing facility17D0997630
Related
Questions
What is the CLIA number for Gran Villas Coffeyville on Tyler in Coffeyville?
17D0974151, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Gran Villas Coffeyville on Tyler hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D0974151 expire?
The CMS file lists May 29, 2028 as the certificate expiration date; the certificate took effect May 30, 2026.