CLIA lab
CLIA 17D1022711: Free State Dermatology
Lawrence, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D1022711 belongs to Free State Dermatology in Lawrence, KS.
Certificate for Provider-Performed Microscopy Procedures, effective February 24, 2026, expires February 23, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- February 24, 2026
- Certificate expiration
- February 23, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 24, 2004
- Facility type
- Physician office
- 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
- 17D1022711
- Lab name
- Free State Dermatology
- Additional name
- Matthew G Buxton, MD, PA
- Address
- 3511 Clinton Place, Lawrence, KS 66047
- Phone
- (913) 681-8914
- Fax
- (913) 681-8914
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Advantage Medical GroupCertificate for Provider-Performed Microscopy Procedures, Physician office17D1076408
- Adventhealth Medical GroupCertificate of Waiver, Physician office17D0991358
- Anderson Family Football Complex Athletic TrainingCertificate of Waiver, School or student health service17D2163453
- Anderson-Rogers Pharmacy LLCCertificate of Waiver, Pharmacy17D2183947
- Arbors at Monterey Village Assisted Living, theCertificate of Waiver, Assisted living facility17D2119351
- BHG Lxxv, LLCCertificate of Waiver, Other17D2240798
- BHG Lxxxiv, LLC DBA BHG Medical Services KansasCertificate of Waiver, Other17D2304696
- Bishop Seabury AcademyCertificate of Waiver, School or student health service17D2238414
- Brandon Woods at AlvamarCertificate of Waiver, Assisted living facility17D0891297
Related
Questions
What is the CLIA number for Free State Dermatology in Lawrence?
17D1022711, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Free State Dermatology hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 17D1022711 expire?
The CMS file lists February 23, 2028 as the certificate expiration date; the certificate took effect February 24, 2026.