CLIA lab

CLIA 17D2104124: Free State Dialysis

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

CLIA number 17D2104124 belongs to Free State Dialysis in Lawrence, KS.

Certificate of Waiver, effective October 28, 2025, expires October 27, 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
October 28, 2025
Certificate expiration
October 27, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 28, 2015
Facility type
End stage renal disease dialysis 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
17D2104124
Lab name
Free State Dialysis
Address
1918 E 23rd St, Lawrence, KS 66046
Phone
(785) 312-9377
Fax
(785) 841-3868

Annual test volume the lab reported

Waived tests
3,744

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Care facility at this address

Other labs in Lawrence, KS

Related

Questions

What is the CLIA number for Free State Dialysis in Lawrence?

17D2104124, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Free State Dialysis hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 17D2104124 expire?

The CMS file lists October 27, 2027 as the certificate expiration date; the certificate took effect October 28, 2025.

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