CLIA lab
CLIA 17D1019111: Family Medicine of Tonganoxie
Tonganoxie, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D1019111 belongs to Family Medicine of Tonganoxie in Tonganoxie, KS.
Certificate of Waiver, effective May 20, 2025, expires May 19, 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 20, 2025
- Certificate expiration
- May 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 10, 2003
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 17D1019111
- Lab name
- Family Medicine of Tonganoxie
- Address
- 410 Woodfield Dr, Tonganoxie, KS 66086
- Phone
- (913) 845-8400
- Fax
- (785) 505-5272
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Tonganoxie, KS
- City of Tonganoxie Fire DeptCertificate of Waiver, Other17D2095671
- Downtown Drug Store, theCertificate of Waiver, Pharmacy17D2211909
- Homestead of TonganoxieCertificate of Waiver, Assisted living facility17D1100906
- Midwest Chiropractic Center, PACertificate of Waiver, Other practitioner17D2116592
- Schubert Advanced Practice LLCCertificate of Waiver, Other practitioner17D2273017
Related
Questions
What is the CLIA number for Family Medicine of Tonganoxie in Tonganoxie?
17D1019111, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Family Medicine of Tonganoxie hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D1019111 expire?
The CMS file lists May 19, 2027 as the certificate expiration date; the certificate took effect May 20, 2025.