CLIA lab
CLIA 17D2200507: The Medicine Store
Basehor, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D2200507 belongs to The Medicine Store in Basehor, KS.
Certificate of Waiver, effective November 16, 2024, expires November 15, 2026.
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
- November 16, 2024
- Certificate expiration
- November 15, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 16, 2020
- Facility type
- Pharmacy
- 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
- 17D2200507
- Lab name
- The Medicine Store
- Address
- 15415 Pinehurst Drive, Basehor, KS 66007
- Phone
- (913) 724-3666
- Fax
- (913) 724-3667
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Basehor, KS
Related
Questions
What is the CLIA number for The Medicine Store in Basehor?
17D2200507, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does The Medicine Store hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D2200507 expire?
The CMS file lists November 15, 2026 as the certificate expiration date; the certificate took effect November 16, 2024.