CLIA lab
CLIA 17D2215236: Maydew Thibault Optometry LLC
Pratt, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D2215236 belongs to Maydew Thibault Optometry LLC in Pratt, KS.
Certificate of Waiver, effective March 2, 2025, expires March 1, 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
- March 2, 2025
- Certificate expiration
- March 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 2, 2021
- Facility type
- Other practitioner
- 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
- 17D2215236
- Lab name
- Maydew Thibault Optometry LLC
- Address
- 216 South Oak, Pratt, KS 67124
- Phone
- (620) 672-5934
- Fax
- (620) 672-3550
Annual test volume the lab reported
- Waived tests
- 12
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Pratt, KS
- Dillons Pharmacy #23Certificate of Waiver, Pharmacy17D2019447
- Grace Clinic & Urgent CareCertificate of Waiver, Physician office17D2325124
- Grand Plains Skilled Nursing and RehabilitationCertificate of Waiver, Skilled nursing or nursing facility17D2190719
- Interim Healthcare of Wichita-Pratt Branch/MslCertificate of Waiver, Home health agency17D2211831
- Parkwood VillageCertificate of Waiver, Other17D0979257
- Pratt Community College-College HealthCertificate of Waiver, School or student health service17D1044820
- Pratt Community Health Clinic, LLCCertificate of Waiver, Physician office17D2276748
- Pratt County EMSCertificate of Waiver, Ambulance17D2144638
- Pratt County Health DepartmentCertificate of Waiver, Community clinic17D0666195
- Pratt Family PracticeCertificate for Provider-Performed Microscopy Procedures, Physician office17D0924852
Related
Questions
What is the CLIA number for Maydew Thibault Optometry LLC in Pratt?
17D2215236, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Maydew Thibault Optometry LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D2215236 expire?
The CMS file lists March 1, 2027 as the certificate expiration date; the certificate took effect March 2, 2025.