CLIA lab
CLIA 17D2095695: The Little Clinic of Kansas LLC
Derby, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D2095695 belongs to The Little Clinic of Kansas LLC in Derby, KS.
Certificate of Waiver, effective May 11, 2025, expires May 10, 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 11, 2025
- Certificate expiration
- May 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 11, 2015
- Facility type
- Other
- 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
- 17D2095695
- Lab name
- The Little Clinic of Kansas LLC
- Address
- 1624 N Rock Road, Derby, KS 67037
- Phone
- (316) 554-2126
- Fax
- (316) 554-2128
Annual test volume the lab reported
- Waived tests
- 2,100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Derby, KS
- Ascension Medical Group Via Christi, PA - DerbyCertificate of Waiver, Physician office17D0936343
- Brookdale DerbyCertificate of Waiver, Assisted living facility17D0977931
- Children's MercyCertificate of Waiver, Physician office17D1097030
- Damm PharmacyCertificate of Waiver, Pharmacy17D2268331
- Derby Assisted LivingCertificate of Waiver, Assisted living facility17D2191990
- Derby DermCertificate of Waiver, Other practitioner17D1097910
- Derby DrugCertificate of Waiver, Pharmacy17D2182663
- Derby Family MedcenterCertificate of Accreditation, Physician office17D0450969
- Derby Health & RehabilitationCertificate of Waiver, Skilled nursing or nursing facility17D1107812
- Derby Public SchoolsCertificate of Waiver, School or student health service17D0952276
Related
Questions
What is the CLIA number for The Little Clinic of Kansas LLC in Derby?
17D2095695, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does The Little Clinic of Kansas LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D2095695 expire?
The CMS file lists May 10, 2027 as the certificate expiration date; the certificate took effect May 11, 2025.