CLIA lab
CLIA 17D0450778: Waverly Medical Clinic
Waverly, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D0450778 belongs to Waverly Medical Clinic in Waverly, KS.
Certificate of Waiver, effective July 11, 2026, expires July 10, 2028.
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
- July 11, 2026
- Certificate expiration
- July 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Rural health clinic
- Ownership (control type)
- Government, county
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 17D0450778
- Lab name
- Waverly Medical Clinic
- Address
- 302 Pearson Avenue, Waverly, KS 66871
- Phone
- (620) 364-2121
- Fax
- (620) 364-8719
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Waverly, KS
Related
Questions
What is the CLIA number for Waverly Medical Clinic in Waverly?
17D0450778, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Waverly Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D0450778 expire?
The CMS file lists July 10, 2028 as the certificate expiration date; the certificate took effect July 11, 2026.