CLIA lab
CLIA 17D0663321: Locust Grove Village
La Crosse, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D0663321 belongs to Locust Grove Village in La Crosse, 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 15, 1992
- 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
- 17D0663321
- Lab name
- Locust Grove Village
- Address
- 701 West 6th Street, La Crosse, KS 67548
- Phone
- (785) 222-2574
- Fax
- (785) 222-9034
Annual test volume the lab reported
- Waived tests
- 1,140
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Locust Grove VillageCMS Care Compare ratings for the facility at the same street address
Other labs in La Crosse, KS
- Rush County EMSCertificate of Waiver, Ambulance17D0926144
- Rush County Health DepartmentCertificate of Waiver, Other17D0667917
- Rush County Medical ClinicCertificate of Waiver, Physician office17D0700444
- Rush County Memorial HospitalCertificate of Compliance, Hospital17D0648374
- Rush County PharmacyCertificate of Waiver, Pharmacy17D2183945
Related
Questions
What is the CLIA number for Locust Grove Village in La Crosse?
17D0663321, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Locust Grove Village hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D0663321 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.