CLIA lab
CLIA 17D1040811: KMC Dermatology - Mission
Mission, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D1040811 belongs to KMC Dermatology - Mission in Mission, KS.
Certificate of Compliance, effective December 3, 2024, expires December 2, 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 Compliance
- Certificate effective
- December 3, 2024
- Certificate expiration
- December 2, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 18, 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
- 17D1040811
- Lab name
- KMC Dermatology - Mission
- Address
- 5820 Lamar Ave, Mission, KS 66202
- Phone
- (913) 631-6330
- Fax
- (913) 631-6222
Annual test volume the lab reported
- Waived tests
- 150
- Other nonwaived tests
- 410
- Total
- 560
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mission, KS
- Acuity Vision Center LLCCertificate of Waiver, Physician office17D2266666
- B&L Medical Group, LLCCertificate of Waiver, Other17D2322534
- DRS Nidiffer and Thomas PACertificate of Waiver, Other practitioner17D0870831
- Doc Shop, PACertificate of Waiver, Physician office17D2205212
- Hyvee Pharmacy #1422Certificate of Waiver, Pharmacy17D1077696
- Kansas CVS Pharmacy, LLCCertificate of Waiver, Pharmacy17D2225484
- Saint Luke's Convenient Care - MissionCertificate of Waiver, Community clinic17D2109266
Related
Questions
What is the CLIA number for KMC Dermatology - Mission in Mission?
17D1040811, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does KMC Dermatology - Mission hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 17D1040811 expire?
The CMS file lists December 2, 2026 as the certificate expiration date; the certificate took effect December 3, 2024.