CLIA lab
CLIA 17D1097030: Children's Mercy
Derby, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D1097030 belongs to Children's Mercy in Derby, KS.
Certificate of Waiver, effective July 21, 2026, expires July 20, 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 21, 2026
- Certificate expiration
- July 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 17, 2009
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 17D1097030
- Lab name
- Children's Mercy
- Additional name
- Mid Kansas Pediatric Associates, Inc
- Address
- 1635 E Freedom St Suite 500, Derby, KS 67037
- Phone
- (316) 719-2001
- Fax
- (316) 719-2020
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Derby, KS
- Ascension Medical Group Via Christi, PA - DerbyCertificate of Waiver, Physician office17D0936343
- Brookdale DerbyCertificate of Waiver, Assisted living facility17D0977931
- Damm PharmacyCertificate of Waiver, Pharmacy17D2268331
- Derby Assisted LivingCertificate of Waiver, Assisted living facility17D2191990
- Derby DermCertificate of Waiver, Other practitioner17D1097910
- Derby DrugCertificate of Waiver, Pharmacy17D2182663
- Derby Family MedcenterCertificate of Accreditation, Physician office17D0450969
- Derby Health & RehabilitationCertificate of Waiver, Skilled nursing or nursing facility17D1107812
- Derby Public SchoolsCertificate of Waiver, School or student health service17D0952276
- Dillons Pharmacy #83Certificate of Waiver, Pharmacy17D2011306
Related
Questions
What is the CLIA number for Children's Mercy in Derby?
17D1097030, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Children's Mercy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D1097030 expire?
The CMS file lists July 20, 2028 as the certificate expiration date; the certificate took effect July 21, 2026.