CLIA lab
CLIA 17D2193924: Community Health Center
Coffeyville, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D2193924 belongs to Community Health Center in Coffeyville, KS.
Certificate of Waiver, effective September 25, 2026, expires September 24, 2028.
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 25, 2026
- Certificate expiration
- September 24, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 25, 2020
- Facility type
- Federally qualified health center
- Ownership (control type)
- Other
- 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
- 17D2193924
- Lab name
- Community Health Center
- Additional name
- Of Southeast Kansas, Inc
- Address
- 102 S Cline, Coffeyville, KS 67337
- Phone
- (620) 231-9873
- Fax
- (620) 231-5062
Annual test volume the lab reported
- Waived tests
- 26,894
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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 Center of Southeast Kansas, IncCertificate of Waiver, Federally qualified health center17D2163904
- 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 in Coffeyville?
17D2193924, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Community Health Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D2193924 expire?
The CMS file lists September 24, 2028 as the certificate expiration date; the certificate took effect September 25, 2026.