CLIA lab

CLIA 17D2288448: Pearl Girl Clinics, LLC

Derby, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 17D2288448 belongs to Pearl Girl Clinics, LLC in Derby, KS.

Certificate of Waiver, effective August 25, 2025, expires August 24, 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
August 25, 2025
Certificate expiration
August 24, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 25, 2023
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
17D2288448
Lab name
Pearl Girl Clinics, LLC
Address
1821 East Madison Avenue Suite 1100A, Derby, KS 67037
Phone
(316) 669-8082
Fax
(833) 449-4173

Annual test volume the lab reported

Waived tests
2,500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Derby, KS

Related

Questions

What is the CLIA number for Pearl Girl Clinics, LLC in Derby?

17D2288448, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pearl Girl Clinics, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 17D2288448 expire?

The CMS file lists August 24, 2027 as the certificate expiration date; the certificate took effect August 25, 2025.

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