CLIA lab

CLIA 17D2096114: Douglas E Ball OD PA

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

CLIA number 17D2096114 belongs to Douglas E Ball OD PA in Hutchinson, KS.

Certificate of Waiver, effective May 15, 2025, expires May 14, 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 15, 2025
Certificate expiration
May 14, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 15, 2015
Facility type
Physician office
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
17D2096114
Lab name
Douglas E Ball OD PA
Address
3120 N Plum, Hutchinson, KS 67502
Phone
(620) 662-2355
Fax
(620) 662-1102

Annual test volume the lab reported

Waived tests
50

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 Douglas E Ball OD PA in Hutchinson?

17D2096114, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Douglas E Ball OD PA hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 17D2096114 expire?

The CMS file lists May 14, 2027 as the certificate expiration date; the certificate took effect May 15, 2025.

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