CLIA lab
CLIA 17D1097910: Derby Derm
Derby, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D1097910 belongs to Derby Derm in Derby, KS.
Certificate of Waiver, effective January 7, 2026, expires January 6, 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
- January 7, 2026
- Certificate expiration
- January 6, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 7, 2009
- Facility type
- Other practitioner
- 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
- 17D1097910
- Lab name
- Derby Derm
- Address
- 1121 North College Park, Suite 400, Derby, KS 67037
- Phone
- (316) 788-3376
- Fax
- (316) 788-3378
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Derby, KS
- Ascension Medical Group Via Christi, PA - DerbyCertificate of Waiver, Physician office17D0936343
- Brookdale DerbyCertificate of Waiver, Assisted living facility17D0977931
- Children's MercyCertificate of Waiver, Physician office17D1097030
- Damm PharmacyCertificate of Waiver, Pharmacy17D2268331
- Derby Assisted LivingCertificate of Waiver, Assisted living facility17D2191990
- 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 Derby Derm in Derby?
17D1097910, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Derby Derm hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D1097910 expire?
The CMS file lists January 6, 2028 as the certificate expiration date; the certificate took effect January 7, 2026.