CLIA lab
CLIA 17D2213130: Commonspirit Family Practice and Pediatrics
Dodge City, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D2213130 belongs to Commonspirit Family Practice and Pediatrics in Dodge City, KS.
Certificate of Waiver, effective February 10, 2025, expires February 9, 2027.
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
- February 10, 2025
- Certificate expiration
- February 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 10, 2021
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- 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
- 17D2213130
- Lab name
- Commonspirit Family Practice and Pediatrics
- Additional name
- Dodge City
- Address
- 100 W Ross Blvd, Ste B, Dodge City, KS 67801
- Phone
- (620) 371-5576
- Fax
- (620) 371-5006
Annual test volume the lab reported
- Waived tests
- 3,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Dodge City, KS
- Apollo Medflight, LLCCertificate of Waiver, Ambulance17D2314313
- Brookdale Dodge CityCertificate of Waiver, Assisted living facility17D0971444
- Care To ThriveCertificate of Waiver, Other practitioner17D2170905
- Cargill Health ServicesCertificate of Waiver, Other17D1009926
- Commonspirit Internal Medicine Dodge CityCertificate of Waiver, Physician office17D0453114
- Commonspirit Kansas, IncCertificate of Accreditation, Hospital17D0453125
- Craig Homecare, LLC DBA Pediatric Home ServiceCertificate of Waiver, Home health agency17D2050171
- Dillons Pharmacy #01Certificate of Waiver, Pharmacy17D2002764
- Dodge City Family Care ClinicCertificate of Waiver, Rural health clinic17D2002269
- Family Practice AssociatesCertificate for Provider-Performed Microscopy Procedures, Physician office17D0863612
Related
Questions
What is the CLIA number for Commonspirit Family Practice and Pediatrics in Dodge City?
17D2213130, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Commonspirit Family Practice and Pediatrics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D2213130 expire?
The CMS file lists February 9, 2027 as the certificate expiration date; the certificate took effect February 10, 2025.