CLIA lab
CLIA 17D1004131: Family Medicine Louisburg Medical Pavilion
Louisburg, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D1004131 belongs to Family Medicine Louisburg Medical Pavilion in Louisburg, KS.
Certificate of Waiver, effective January 1, 2025, expires December 31, 2026.
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
- January 1, 2025
- Certificate expiration
- December 31, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 19, 2002
- Facility type
- Rural health clinic
- Ownership (control type)
- Government, other
- 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
- 17D1004131
- Lab name
- Family Medicine Louisburg Medical Pavilion
- Address
- 102 W Crestview Cir, Louisburg, KS 66053
- Phone
- (913) 837-4299
- Fax
- (913) 837-4162
Annual test volume the lab reported
- Waived tests
- 1,240
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Louisburg, KS
- Auburn Pharmacy #115Certificate of Waiver, Pharmacy17D2204728
- Homestead of LouisburgCertificate of Waiver, Assisted living facility17D0972703
- Louisburg Healthcare and RehabilitationCertificate of Waiver, Skilled nursing or nursing facility17D0878501
- Vohs PharmacyCertificate of Waiver, Pharmacy17D2185621
Related
Questions
What is the CLIA number for Family Medicine Louisburg Medical Pavilion in Louisburg?
17D1004131, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Family Medicine Louisburg Medical Pavilion hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D1004131 expire?
The CMS file lists December 31, 2026 as the certificate expiration date; the certificate took effect January 1, 2025.