CLIA lab
CLIA 17D2227459: KMC Dermatology - Leavenworth
Leavenworth, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D2227459 belongs to KMC Dermatology - Leavenworth in Leavenworth, KS.
Certificate of Waiver, effective May 1, 2025, expires April 30, 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
- May 1, 2025
- Certificate expiration
- April 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 11, 2021
- 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
- 17D2227459
- Lab name
- KMC Dermatology - Leavenworth
- Address
- 3550 Fourth Street, Suite 250, Leavenworth, KS 66048
- Phone
- (913) 565-2569
- Fax
- (913) 565-2571
Annual test volume the lab reported
- Waived tests
- 140
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Leavenworth, KS
- Birthright of Leavenworth IncCertificate of Waiver, Other17D0908054
- Dillons Pharmacy #40Certificate of Waiver, Pharmacy17D1101466
- Ekhcs Dwight D Eisenhower VamcCertificate of Accreditation, Hospital17D0987875
- Emergent Care Plus of Overland ParkCertificate of Waiver, Other17D2162349
- Homestead of LeavenworthCertificate of Waiver, Assisted living facility17D0972009
- House Calls of Kansas, LLCCertificate of Waiver, Physician office17D2206328
- Leavenworth County Emergency Medical ServicesCertificate of Waiver, Ambulance17D2088663
- Leavenworth County Health DeptCertificate for Provider-Performed Microscopy Procedures, Community clinic17D0663390
- Medicalodge-LeavenworthCertificate of Waiver, Skilled nursing or nursing facility17D0448328
- Midwest Regional Reception CenterCertificate of Waiver, Prison17D0876515
Related
Questions
What is the CLIA number for KMC Dermatology - Leavenworth in Leavenworth?
17D2227459, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does KMC Dermatology - Leavenworth hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D2227459 expire?
The CMS file lists April 30, 2027 as the certificate expiration date; the certificate took effect May 1, 2025.