CLIA lab

CLIA 17D2002767: Pain, Spine & Rehab, PA

Great Bend, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 17D2002767 belongs to Pain, Spine & Rehab, PA in Great Bend, KS.

Certificate of Waiver, effective March 22, 2026, expires March 21, 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
March 22, 2026
Certificate expiration
March 21, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 26, 2010
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
3

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
17D2002767
Lab name
Pain, Spine & Rehab, PA
Address
925 South Patton Road, Great Bend, KS 67530
Phone
(620) 792-2991
Fax
(620) 792-3804

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.

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Related

Questions

What is the CLIA number for Pain, Spine & Rehab, PA in Great Bend?

17D2002767, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pain, Spine & Rehab, PA hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 17D2002767 expire?

The CMS file lists March 21, 2028 as the certificate expiration date; the certificate took effect March 22, 2026.

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