CLIA lab
CLIA 17D0452730: Ukhs ST Rose Medical Pavilion
Great Bend, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D0452730 belongs to Ukhs ST Rose Medical Pavilion in Great Bend, KS.
Certificate of Waiver, effective September 8, 2026, expires September 7, 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 8, 2026
- Certificate expiration
- September 7, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Rural health clinic
- 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
- 17D0452730
- Lab name
- Ukhs ST Rose Medical Pavilion
- Address
- 3515 Broadway Ave, Floors 1 & 3, Great Bend, KS 67530
- Phone
- (620) 792-2511
- Fax
- (620) 860-0619
Annual test volume the lab reported
- Waived tests
- 7,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Great Bend, KS
- Azria Health-WoodhavenCertificate of Waiver, Skilled nursing or nursing facility17D0452741
- Barton County Health DeptCertificate for Provider-Performed Microscopy Procedures, Community clinic17D0667296
- Brookdale Great BendCertificate of Waiver, Assisted living facility17D0981081
- Center for Counseling & ConsultationCertificate of Waiver, Other17D2187387
- College Health Center Barton Co CCCertificate of Waiver, School or student health service17D0863766
- Dillons Pharmacy #51Certificate of Waiver, Pharmacy17D2042490
- Fresenius Medical Care Great BendCertificate of Waiver, End stage renal disease dialysis facility17D0883079
- Golden Belt Home Health and HospiceCertificate of Waiver, Hospice17D0927085
- Great Bend Children's ClinicCertificate of Waiver, Rural health clinic17D0667345
- Great Bend Fire & EMSCertificate of Waiver, Ambulance17D0938923
Related
Questions
What is the CLIA number for Ukhs ST Rose Medical Pavilion in Great Bend?
17D0452730, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ukhs ST Rose Medical Pavilion hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D0452730 expire?
The CMS file lists September 7, 2028 as the certificate expiration date; the certificate took effect September 8, 2026.