CLIA lab

CLIA 17D2004629: Pratt Regional Medical Center Clinic Services

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

CLIA number 17D2004629 belongs to Pratt Regional Medical Center Clinic Services in Dodge City, KS.

Certificate for Provider-Performed Microscopy Procedures, effective March 9, 2026, expires March 8, 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 for Provider-Performed Microscopy Procedures
Certificate effective
March 9, 2026
Certificate expiration
March 8, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 9, 2010
Facility type
Physician office
Ownership (control type)
Private
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
17D2004629
Lab name
Pratt Regional Medical Center Clinic Services
Address
1206 Frontview, Suites 202 And 2014, Dodge City, KS 67801
Phone
(620) 371-7270
Fax
(620) 672-3488

Annual test volume the lab reported

Waived tests
100
Provider-performed microscopy tests
250
Total
350

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 Pratt Regional Medical Center Clinic Services in Dodge City?

17D2004629, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pratt Regional Medical Center Clinic Services hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 17D2004629 expire?

The CMS file lists March 8, 2028 as the certificate expiration date; the certificate took effect March 9, 2026.

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