CLIA lab
CLIA 17D1094768: Southwest Pediatrics & Adolescent Medicine PA
Liberal, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D1094768 belongs to Southwest Pediatrics & Adolescent Medicine PA in Liberal, KS.
Certificate of Waiver, effective October 28, 2025, expires October 27, 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
- October 28, 2025
- Certificate expiration
- October 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 27, 2009
- 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
- 17D1094768
- Lab name
- Southwest Pediatrics & Adolescent Medicine PA
- Address
- 117 West 4th Street, Liberal, KS 67901
- Phone
- (620) 624-5066
- Fax
- (620) 624-2872
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Liberal, KS
- 15th Street Family Care CenterCertificate of Waiver, Physician office37D1018206
- Commonspirit Primary Care andCertificate for Provider-Performed Microscopy Procedures, Physician office17D2171078
- Dillons Pharmacy #73Certificate of Waiver, Pharmacy17D2013464
- El-Kan DrugCertificate of Waiver, Pharmacy17D2242018
- Good Samaritan - LiberalCertificate of Waiver, Skilled nursing or nursing facility17D0725709
- Grace Place Pregnancy Care CenterCertificate of Waiver, Other17D2327129
- Health Watch Health Care of Liberal, LLCCertificate of Waiver, Home health agency17D2003589
- Jury,farrar & Associates Doctors of Optometry, PACertificate of Waiver, Physician office17D1107816
- Knudsen Clinic for Women's HealthCertificate of Waiver, Physician office17D0453314
- Liberal CbocCertificate of Accreditation, Community clinic17D2048479
Related
Questions
What is the CLIA number for Southwest Pediatrics & Adolescent Medicine PA in Liberal?
17D1094768, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southwest Pediatrics & Adolescent Medicine PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D1094768 expire?
The CMS file lists October 27, 2027 as the certificate expiration date; the certificate took effect October 28, 2025.