CLIA lab
CLIA 17D1037653: Ascension Medical Group ST John Coffeyville
Coffeyville, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D1037653 belongs to Ascension Medical Group ST John Coffeyville in Coffeyville, KS.
Certificate of Waiver, effective July 13, 2026, expires July 12, 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
- July 13, 2026
- Certificate expiration
- July 12, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 1, 2005
- 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
- 17D1037653
- Lab name
- Ascension Medical Group ST John Coffeyville
- Address
- 1505 West 11th Suite C, Coffeyville, KS 67337
- Phone
- (620) 251-5400
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Coffeyville, KS
- Asbury VillageCertificate of Waiver, Other17D0972227
- Coffeyville Community CollegeCertificate of Waiver, School or student health service17D0925486
- Coffeyville Family Practice ClinicCertificate of Accreditation, Physician office17D0452201
- Coffeyville Regional Medical CenterCertificate of Accreditation, Hospital17D0452202
- Community Health CenterCertificate of Waiver, Federally qualified health center17D2193920
- Community Health CenterCertificate of Waiver, Federally qualified health center17D2193924
- Community Health Center of Southeast Kansas, IncCertificate of Waiver, Federally qualified health center17D2163904
- Crmc Medical GroupCertificate of Waiver, Rural health clinic17D1035082
- Gran Villas Coffeyville on 8thCertificate of Waiver, Skilled nursing or nursing facility17D0997630
- Gran Villas Coffeyville on TylerCertificate of Waiver, Skilled nursing or nursing facility17D0974151
Related
Questions
What is the CLIA number for Ascension Medical Group ST John Coffeyville in Coffeyville?
17D1037653, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ascension Medical Group ST John Coffeyville hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D1037653 expire?
The CMS file lists July 12, 2028 as the certificate expiration date; the certificate took effect July 13, 2026.