CLIA lab
CLIA 17D2205212: Doc Shop, PA
Mission, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D2205212 belongs to Doc Shop, PA in Mission, KS.
Certificate of Waiver, effective December 14, 2024, expires December 13, 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
- December 14, 2024
- Certificate expiration
- December 13, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 14, 2020
- Facility type
- Physician office
- 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
- 17D2205212
- Lab name
- Doc Shop, PA
- Address
- 5407 Johnson Drive, Mission, KS 66205
- Phone
- (913) 362-0220
- Fax
- (913) 362-0440
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mission, KS
- Acuity Vision Center LLCCertificate of Waiver, Physician office17D2266666
- B&L Medical Group, LLCCertificate of Waiver, Other17D2322534
- DRS Nidiffer and Thomas PACertificate of Waiver, Other practitioner17D0870831
- Hyvee Pharmacy #1422Certificate of Waiver, Pharmacy17D1077696
- KMC Dermatology - MissionCertificate of Compliance, Physician office17D1040811
- Kansas CVS Pharmacy, LLCCertificate of Waiver, Pharmacy17D2225484
- Saint Luke's Convenient Care - MissionCertificate of Waiver, Community clinic17D2109266
Related
Questions
What is the CLIA number for Doc Shop, PA in Mission?
17D2205212, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Doc Shop, PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D2205212 expire?
The CMS file lists December 13, 2026 as the certificate expiration date; the certificate took effect December 14, 2024.