CLIA lab
CLIA 17D2163904: Community Health Center of Southeast Kansas, Inc
Coffeyville, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D2163904 belongs to Community Health Center of Southeast Kansas, Inc in Coffeyville, KS.
Certificate of Waiver, effective March 22, 2025, expires March 21, 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
- March 22, 2025
- Certificate expiration
- March 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 22, 2019
- Facility type
- Federally qualified health center
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 17D2163904
- Lab name
- Community Health Center of Southeast Kansas, Inc
- Address
- 801 W 8th, Coffeyville, KS 67337
- Phone
- (620) 231-9873
- Fax
- (620) 231-5062
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Coffeyville, KS
- Asbury VillageCertificate of Waiver, Other17D0972227
- Ascension Medical Group ST John CoffeyvilleCertificate of Waiver, Physician office17D1037653
- Coffeyville Community CollegeCertificate of Waiver, School or student health service17D0925486
- Coffeyville Family Practice ClinicCertificate of Accreditation, Physician office17D0452201
- Coffeyville Regional Medical CenterCertificate of Accreditation, Hospital17D0452202
- Community Health CenterCertificate of Waiver, Federally qualified health center17D2193920
- Community Health CenterCertificate of Waiver, Federally qualified health center17D2193924
- Crmc Medical GroupCertificate of Waiver, Rural health clinic17D1035082
- Gran Villas Coffeyville on 8thCertificate of Waiver, Skilled nursing or nursing facility17D0997630
- Gran Villas Coffeyville on TylerCertificate of Waiver, Skilled nursing or nursing facility17D0974151
Related
Questions
What is the CLIA number for Community Health Center of Southeast Kansas, Inc in Coffeyville?
17D2163904, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Community Health Center of Southeast Kansas, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D2163904 expire?
The CMS file lists March 21, 2027 as the certificate expiration date; the certificate took effect March 22, 2025.