CLIA lab
CLIA 17D2322926: Functional Vitality, LLC
Linwood, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D2322926 belongs to Functional Vitality, LLC in Linwood, KS.
Certificate of Waiver, effective April 29, 2025, expires April 28, 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
- April 29, 2025
- Certificate expiration
- April 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 29, 2025
- 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
- 17D2322926
- Lab name
- Functional Vitality, LLC
- Address
- 12160 214th Street, Linwood, KS 66052
- Phone
- (913) 735-3697
Annual test volume the lab reported
- Waived tests
- 150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Functional Vitality, LLC in Linwood?
17D2322926, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Functional Vitality, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D2322926 expire?
The CMS file lists April 28, 2027 as the certificate expiration date; the certificate took effect April 29, 2025.