CLIA lab

CLIA 17D2194039: Care Haven Homes - Southmoor

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

CLIA number 17D2194039 belongs to Care Haven Homes - Southmoor in Overland Park, KS.

Certificate of Waiver, effective September 28, 2024, expiration date September 27, 2026.

The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.

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 28, 2024
Certificate expiration
September 27, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
September 28, 2020
Facility type
Assisted living facility
Ownership (control type)
Proprietary
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
17D2194039
Lab name
Care Haven Homes - Southmoor
Address
7010 West 69th Terrace, Overland Park, KS 66204
Phone
(913) 643-0111
Fax
(913) 273-1520

Annual test volume the lab reported

Waived tests
800

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 Care Haven Homes - Southmoor in Overland Park?

17D2194039, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Care Haven Homes - Southmoor hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 17D2194039 expire?

The CMS file lists September 27, 2026 as the certificate expiration date; the certificate took effect September 28, 2024.

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