CLIA lab
CLIA 17D0664084: Bethel Home Inc
Montezuma, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D0664084 belongs to Bethel Home Inc in Montezuma, 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
- April 20, 1993
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Religious affiliation
- 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
- 17D0664084
- Lab name
- Bethel Home Inc
- Address
- 300 S Aztec, Montezuma, KS 67867
- Phone
- (620) 846-2241
Other labs in Montezuma, KS
Related
Questions
What is the CLIA number for Bethel Home Inc in Montezuma?
17D0664084, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bethel Home Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D0664084 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.