CLIA lab
CLIA 17D2193954: Cedar Lake Village
Olathe, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D2193954 belongs to Cedar Lake Village in Olathe, 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
- Assisted living facility
- Ownership (control type)
- Private
- 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
- 17D2193954
- Lab name
- Cedar Lake Village
- Address
- 15325 S. Lone Elm Road, Olathe, KS 66061
- Phone
- (913) 780-9916
- Fax
- (913) 768-8903
Annual test volume the lab reported
- Waived tests
- 25
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Olathe, KS
- 3M54 LLCCertificate of Waiver, Physician office17D2346554
- Aberdeen VillageCertificate of Waiver, Skilled nursing or nursing facility17D0988082
- Adventhealth Centra Care OlatheCertificate of Waiver, Other17D2115583
- Allied Home Health LLCCertificate of Waiver, Home health agency17D2336925
- Auburn Pharmacy #127Certificate of Waiver, Pharmacy17D2204770
- Auburn Pharmacy #135Certificate of Waiver, Pharmacy17D2193874
- Benton House of OlatheCertificate of Waiver, Assisted living facility17D2158924
- Care for Women LLCCertificate for Provider-Performed Microscopy Procedures, Physician office17D1038640
- Centerwell Senior Primary Care-OlatheCertificate of Waiver, Physician office17D2136729
- Childrens Mercy-Sunshine Pediatrics IncCertificate of Waiver, Physician office17D0448520
Related
Questions
What is the CLIA number for Cedar Lake Village in Olathe?
17D2193954, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Cedar Lake Village hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D2193954 expire?
The CMS file lists September 24, 2028 as the certificate expiration date; the certificate took effect September 25, 2026.