CLIA lab
CLIA 17D0453223: Stanton County Clinic
Johnson, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D0453223 belongs to Stanton County Clinic in Johnson, KS.
Certificate for Provider-Performed Microscopy Procedures, effective January 10, 2025, expires January 9, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- January 10, 2025
- Certificate expiration
- January 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 17D0453223
- Lab name
- Stanton County Clinic
- Address
- 101 East Greenwood Avenue, Johnson, KS 67855
- Phone
- (620) 492-6230
- Fax
- (620) 492-2309
Annual test volume the lab reported
- Waived tests
- 473
- Provider-performed microscopy tests
- 14
- Total
- 487
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Johnson, KS
- Memorial Living CenterCertificate of Waiver, Assisted living facility17D2216454
- Stanton County EMSCertificate of Waiver, Ambulance17D0980592
- Stanton County Family PracticeCertificate of Waiver, Community clinic17D0933656
- Stanton County Health DepatmentCertificate of Waiver, Community clinic17D0667046
- Stanton County HospitalCertificate of Compliance, Hospital17D0453224
- Stanton County Hospital, LTC, NursingCertificate of Waiver, Skilled nursing or nursing facility17D1025031
- Stanton County Hospital, Ltcu, and Family PracticeCertificate of Waiver, Ancillary test site17D1025032
Related
Questions
What is the CLIA number for Stanton County Clinic in Johnson?
17D0453223, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Stanton County Clinic hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 17D0453223 expire?
The CMS file lists January 9, 2027 as the certificate expiration date; the certificate took effect January 10, 2025.