CLIA lab

CLIA 17D1012555: Mariana E Lucero, MD

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

CLIA number 17D1012555 belongs to Mariana E Lucero, MD in Liberal, KS.

Certificate of Waiver, effective May 13, 2025, expires May 12, 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
May 13, 2025
Certificate expiration
May 12, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 13, 2003
Facility type
Other practitioner
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
17D1012555
Lab name
Mariana E Lucero, MD
Address
2132 North Kansas Ave Suite B, Liberal, KS 67901
Phone
(620) 624-7400
Fax
(620) 624-7444

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.

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Related

Questions

What is the CLIA number for Mariana E Lucero, MD in Liberal?

17D1012555, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mariana E Lucero, MD hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 17D1012555 expire?

The CMS file lists May 12, 2027 as the certificate expiration date; the certificate took effect May 13, 2025.

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