CLIA lab
CLIA 17D0451123: Moundridge Manor
Moundridge, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D0451123 belongs to Moundridge Manor in Moundridge, KS.
Certificate of Waiver, effective September 1, 2026, expires August 31, 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
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 22, 1992
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Religious affiliation
- 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
- 17D0451123
- Lab name
- Moundridge Manor
- Address
- 710 N Christian Ave, Moundridge, KS 67107
- Phone
- (620) 345-6364
- Fax
- (620) 345-6376
Annual test volume the lab reported
- Waived tests
- 9,300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Moundridge ManorCMS Care Compare ratings for the facility at the same street address
Other labs in Moundridge, KS
- Mercy Hospital IncCertificate of Compliance, Hospital17D0451122
- Moridge Manufacturing IncCertificate of Waiver, Industrial17D2242110
- Moundridge EMSCertificate of Waiver, Ambulance17D0978026
- Moundridge Valley HopeCertificate of Waiver, Other17D0988675
- Partners in Family CareCertificate of Waiver, Physician office17D0451120
Related
Questions
What is the CLIA number for Moundridge Manor in Moundridge?
17D0451123, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Moundridge Manor hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D0451123 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.