CLIA lab
CLIA 17D0977931: Brookdale Derby
Derby, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D0977931 belongs to Brookdale Derby in Derby, KS.
Certificate of Waiver, effective September 11, 2026, expires September 10, 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 11, 2026
- Certificate expiration
- September 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 11, 2000
- 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
- 17D0977931
- Lab name
- Brookdale Derby
- Address
- 1709 E Walnut Grove Rd, Derby, KS 67037
- Phone
- (316) 788-6100
- Fax
- (316) 788-1239
Annual test volume the lab reported
- Waived tests
- 120
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Derby, KS
- Ascension Medical Group Via Christi, PA - DerbyCertificate of Waiver, Physician office17D0936343
- Children's MercyCertificate of Waiver, Physician office17D1097030
- Damm PharmacyCertificate of Waiver, Pharmacy17D2268331
- Derby Assisted LivingCertificate of Waiver, Assisted living facility17D2191990
- Derby DermCertificate of Waiver, Other practitioner17D1097910
- Derby DrugCertificate of Waiver, Pharmacy17D2182663
- Derby Family MedcenterCertificate of Accreditation, Physician office17D0450969
- Derby Health & RehabilitationCertificate of Waiver, Skilled nursing or nursing facility17D1107812
- Derby Public SchoolsCertificate of Waiver, School or student health service17D0952276
- Dillons Pharmacy #83Certificate of Waiver, Pharmacy17D2011306
Related
Questions
What is the CLIA number for Brookdale Derby in Derby?
17D0977931, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Brookdale Derby hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D0977931 expire?
The CMS file lists September 10, 2028 as the certificate expiration date; the certificate took effect September 11, 2026.