CLIA lab

CLIA 17D2137790: Family Medicine Hedge Lane Medical Pavilion

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

CLIA number 17D2137790 belongs to Family Medicine Hedge Lane Medical Pavilion in Olathe, KS.

Certificate of Waiver, effective May 13, 2025, expires May 12, 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 13, 2025
Certificate expiration
May 12, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 3, 2017
Facility type
Physician office
Ownership (control type)
Government, state
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
17D2137790
Lab name
Family Medicine Hedge Lane Medical Pavilion
Address
2090 West Dartmouth, Olathe, KS 66061
Phone
(913) 356-8300
Fax
(913) 356-8711

Annual test volume the lab reported

Waived tests
7,000

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 Family Medicine Hedge Lane Medical Pavilion in Olathe?

17D2137790, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Family Medicine Hedge Lane Medical Pavilion hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 17D2137790 expire?

The CMS file lists May 12, 2027 as the certificate expiration date; the certificate took effect May 13, 2025.

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