CLIA lab
CLIA 17D0648200: Kaw River Operator, LLC
Edwardsville, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D0648200 belongs to Kaw River Operator, LLC in Edwardsville, KS.
Certificate of Waiver, effective March 27, 2025, expires March 26, 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
- March 27, 2025
- Certificate expiration
- March 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 22, 1993
- Facility type
- Skilled nursing or nursing facility
- 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
- 17D0648200
- Lab name
- Kaw River Operator, LLC
- Address
- 750 Blake Street, Edwardsville, KS 66111
- Phone
- (913) 422-5832
- Fax
- (913) 441-6223
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Kaw River Care and RehabCMS Care Compare ratings for the facility at the same street address
Other labs in Edwardsville, KS
- Edwardsville Fire DepartmentCertificate of Waiver, Ambulance17D0997217
- Edwardsville Operator, LLCCertificate of Waiver, Skilled nursing or nursing facility17D0448893
- Parkway Operator, LLCCertificate of Waiver, Skilled nursing or nursing facility17D0448896
- Tyson FoodsCertificate of Waiver, Other17D2215448
Related
Questions
What is the CLIA number for Kaw River Operator, LLC in Edwardsville?
17D0648200, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kaw River Operator, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D0648200 expire?
The CMS file lists March 26, 2027 as the certificate expiration date; the certificate took effect March 27, 2025.