CLIA lab
CLIA 17D1065007: Providence Care Bonner Springs
Bonner Springs, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D1065007 belongs to Providence Care Bonner Springs in Bonner Springs, KS.
Certificate of Waiver, effective July 23, 2026, expires July 22, 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 23, 2026
- Certificate expiration
- July 22, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 20, 2007
- 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
- 17D1065007
- Lab name
- Providence Care Bonner Springs
- Address
- 913 Sheidley, #200, Bonner Springs, KS 66012
- Phone
- (913) 322-7222
- Fax
- (913) 322-7284
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Bonner Springs, KS
- CLC Bonner SpringsCertificate of Waiver, Skilled nursing or nursing facility17D0448106
- City of Bonner Springs Fire DepartmentCertificate of Waiver, Ambulance17D2091223
- Midwest Chiropractic Center-Bonner SpringsCertificate of Waiver, Physician office17D2241519
- Queen's Price Chopper #10Certificate of Waiver, Pharmacy17D2168428
- Walgreens #12922Certificate of Waiver, Pharmacy17D2061665
- Walmart Pharmacy 10-486Certificate of Waiver, Pharmacy17D2159142
Related
Questions
What is the CLIA number for Providence Care Bonner Springs in Bonner Springs?
17D1065007, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Care Bonner Springs hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D1065007 expire?
The CMS file lists July 22, 2028 as the certificate expiration date; the certificate took effect July 23, 2026.