CLIA lab
CLIA 17D2076304: Victoria Falls
Andover, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D2076304 belongs to Victoria Falls in Andover, KS.
Certificate of Waiver, effective October 19, 2026, expires October 18, 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
- October 19, 2026
- Certificate expiration
- October 18, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 15, 2014
- Facility type
- Assisted living facility
- 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
- 17D2076304
- Lab name
- Victoria Falls
- Address
- 408 East Central, Andover, KS 67002
- Phone
- (316) 733-0334
- Fax
- (316) 733-0995
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Andover, KS
- Agape Direct Primary CareCertificate of Waiver, Community clinic17D2234006
- Andover Ambulatory Surgery Center, LLCCertificate of Waiver, Ambulatory surgery center17D2174487
- Andover Court Assisted LivingCertificate of Waiver, Other17D0970515
- Andover DialysisCertificate of Waiver, End stage renal disease dialysis facility17D2051501
- Andover Family MedicineCertificate of Compliance, Physician office17D1055247
- Andover Family OptometryCertificate of Waiver, Physician office17D2092945
- Andover Medical ClinicCertificate of Compliance, Community clinic17D0450866
- Ascension Medical Group Via Christi, PACertificate of Waiver, Physician office17D0917531
- Behavioral Health Services at Andover, LLCCertificate of Waiver, Comprehensive outpatient rehab facility17D2330461
- Dillons Pharmacy #85Certificate of Waiver, Pharmacy17D2010889
Related
Questions
What is the CLIA number for Victoria Falls in Andover?
17D2076304, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Victoria Falls hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D2076304 expire?
The CMS file lists October 18, 2028 as the certificate expiration date; the certificate took effect October 19, 2026.