CLIA lab

CLIA 17D2136731: Centerwell Senior Primary Care-State Avenue

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

CLIA number 17D2136731 belongs to Centerwell Senior Primary Care-State Avenue in Kansas City, KS.

Certificate of Waiver, effective September 14, 2025, expires September 13, 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
September 14, 2025
Certificate expiration
September 13, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 14, 2017
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
17D2136731
Lab name
Centerwell Senior Primary Care-State Avenue
Address
7527 State Ave, Kansas City, KS 66112
Phone
(913) 335-6986
Fax
(855) 446-7151

Annual test volume the lab reported

Waived tests
2,000

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

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Questions

What is the CLIA number for Centerwell Senior Primary Care-State Avenue in Kansas City?

17D2136731, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Centerwell Senior Primary Care-State Avenue hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 17D2136731 expire?

The CMS file lists September 13, 2027 as the certificate expiration date; the certificate took effect September 14, 2025.

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