CLIA lab
CLIA 17D2174051: Holy Family Medical, Inc
Wichita, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D2174051 belongs to Holy Family Medical, Inc in Wichita, KS.
Certificate for Provider-Performed Microscopy Procedures, effective October 23, 2025, expires October 22, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- October 23, 2025
- Certificate expiration
- October 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 23, 2019
- Facility type
- Federally qualified health center
- Ownership (control type)
- Private
- 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
- 17D2174051
- Lab name
- Holy Family Medical, Inc
- Address
- 144 S Hillside Street, Wichita, KS 67211
- Phone
- (316) 682-9900
- Fax
- (316) 682-0311
Annual test volume the lab reported
- Waived tests
- 4,000
- Provider-performed microscopy tests
- 20
- Total
- 4,020
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 Holy Family Medical, Inc in Wichita?
17D2174051, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Holy Family Medical, Inc hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 17D2174051 expire?
The CMS file lists October 22, 2027 as the certificate expiration date; the certificate took effect October 23, 2025.