CLIA lab
CLIA 17D2058727: Independence Family Medicine
Independence, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D2058727 belongs to Independence Family Medicine in Independence, KS.
Certificate of Waiver, effective May 10, 2025, expires May 9, 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 Waiver
- Certificate effective
- May 10, 2025
- Certificate expiration
- May 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 10, 2013
- Facility type
- Physician office
- Ownership (control type)
- Government, county
- 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
- 17D2058727
- Lab name
- Independence Family Medicine
- Address
- 1415 N Penn Ave, Independence, KS 67301
- Phone
- (620) 331-2400
- Fax
- (620) 331-2405
Annual test volume the lab reported
- Waived tests
- 657
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Independence, KS
- Americare at Montgomery PlaceCertificate of Waiver, Skilled nursing or nursing facility17D1099121
- Community Health Center of Southeast Kansas, IncCertificate of Waiver, Federally qualified health center17D2163908
- Crmc Medical Group, IndependenceCertificate of Waiver, Rural health clinic17D2110673
- Eagle EstatesCertificate of Waiver, Skilled nursing or nursing facility17D0969645
- Four County Mental Health CenterCertificate of Waiver, Other17D2302295
- Home Town Home HealthCertificate of Waiver, Home health agency17D2214999
- Home Town HospiceCertificate of Waiver, Hospice17D2259961
- Independence Dialysis CenterCertificate of Waiver, End stage renal disease dialysis facility17D0676251
- Independence Unified School District 446Certificate of Waiver, School or student health service17D2233582
- Labette Health Independence ClinicCertificate for Provider-Performed Microscopy Procedures, Rural health clinic17D2097066
Related
Questions
What is the CLIA number for Independence Family Medicine in Independence?
17D2058727, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Independence Family Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D2058727 expire?
The CMS file lists May 9, 2027 as the certificate expiration date; the certificate took effect May 10, 2025.