CLIA lab
CLIA 17D2124141: Lakemary Center Psychiatric Residential Facility
Paola, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D2124141 belongs to Lakemary Center Psychiatric Residential Facility in Paola, KS.
Certificate of Waiver, effective January 10, 2025, expires January 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
- January 10, 2025
- Certificate expiration
- January 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 10, 2017
- Facility type
- Other
- Ownership (control type)
- Private
- 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
- 17D2124141
- Lab name
- Lakemary Center Psychiatric Residential Facility
- Address
- 100 Lakemary Drive, Paola, KS 66071
- Phone
- (913) 557-4000
- Fax
- (913) 557-4910
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Health Partnership ClinicCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center17D2175601
- Homestead of PaolaCertificate of Waiver, Assisted living facility17D0976383
- Kansas City Urology Care, PACertificate for Provider-Performed Microscopy Procedures, Physician office17D2115313
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- Medlen Family CareCertificate of Waiver, Other practitioner17D2144601
- Miami County Emergency Medical ServiceCertificate of Waiver, Ambulance17D0911753
Related
Questions
What is the CLIA number for Lakemary Center Psychiatric Residential Facility in Paola?
17D2124141, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lakemary Center Psychiatric Residential Facility hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D2124141 expire?
The CMS file lists January 9, 2027 as the certificate expiration date; the certificate took effect January 10, 2025.