CLIA lab
CLIA 17D1105979: Blue Valley Dermatology
Overland Park, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D1105979 belongs to Blue Valley Dermatology in Overland Park, KS.
Certificate of Compliance, effective December 28, 2025, expires December 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 Compliance
- Certificate effective
- December 28, 2025
- Certificate expiration
- December 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 2, 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
- 17D1105979
- Lab name
- Blue Valley Dermatology
- Address
- 7520 West 160th Street, Overland Park, KS 66085
- Phone
- (913) 871-8221
- Fax
- (913) 495-5456
Annual test volume the lab reported
- Waived tests
- 250
- Other nonwaived tests
- 1,030
- Total
- 1,280
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Overland Park, KS
- Acg Kansas, LLC DBA Acg HospiceCertificate of Waiver, Hospice17D2287308
- Ads Ambulatory Surgery CenterCertificate of Waiver, Ambulatory surgery center17D2213125
- Adult and Pediatric DermatologyCertificate for Provider-Performed Microscopy Procedures, Physician office17D0687168
- Advanced Dermatologic SurgeryCertificate of Compliance, Physician office17D0890923
- Advanced Healthcare of Overland ParkCertificate of Waiver, Skilled nursing or nursing facility17D2075137
- Advanced Reproductive MedicineCertificate of Compliance, Physician office17D0934854
- Advanced Urologic Associates, IncCertificate for Provider-Performed Microscopy Procedures, Physician office17D2177111
- Advent Health Overland ParkCertificate of Waiver, Hospital17D2159837
- Adventhealth Centra Care Overland ParkCertificate of Waiver, Other17D2101229
- Adventhealth Internal Medicine and PediatricsCertificate of Waiver, Health maintenance organization17D2079529
Related
Questions
What is the CLIA number for Blue Valley Dermatology in Overland Park?
17D1105979, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Blue Valley Dermatology hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 17D1105979 expire?
The CMS file lists December 27, 2027 as the certificate expiration date; the certificate took effect December 28, 2025.