CLIA lab
CLIA 17D0648356: Good Samaritan - Ellsworth
Ellsworth, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D0648356 belongs to Good Samaritan - Ellsworth in Ellsworth, 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
- May 19, 1993
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Private
- 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
- 17D0648356
- Lab name
- Good Samaritan - Ellsworth
- Address
- 1156 Hwy 14, Ellsworth, KS 67439
- Phone
- (785) 472-3167
- Fax
- (785) 472-5440
Annual test volume the lab reported
- Waived tests
- 4,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Good Samaritan - EllsworthCMS Care Compare ratings for the facility at the same street address
Other labs in Ellsworth, KS
- Ecmc - Rural Health ClinicCertificate of Waiver, Rural health clinic17D0452446
- Ellsworth Correctional Facility-East UnitCertificate of Waiver, Prison17D2301219
- Ellsworth County EMSCertificate of Waiver, Ambulance17D2138124
- Ellsworth County Health DepartmentCertificate of Waiver, Community clinic17D0665679
- Ellsworth County Medical CenterCertificate of Compliance, Hospital17D0648355
- Good Samaritan Society - Prairie WestCertificate of Waiver, Assisted living facility17D2193974
Related
Questions
What is the CLIA number for Good Samaritan - Ellsworth in Ellsworth?
17D0648356, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Good Samaritan - Ellsworth hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D0648356 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.