CLIA lab
CLIA 17D0668588: Prairie Band Potawatomi Family Health Center
Mayetta, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D0668588 belongs to Prairie Band Potawatomi Family Health Center in Mayetta, KS.
Certificate of Accreditation, effective November 20, 2025, expires November 19, 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 Accreditation
- Certificate effective
- November 20, 2025
- Certificate expiration
- November 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 23, 1992
- Facility type
- Community clinic
- Ownership (control type)
- Government, federal
- Lab classification
- CLIA laboratory
- Accrediting organizations
- COLA
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 17D0668588
- Lab name
- Prairie Band Potawatomi Family Health Center
- Address
- 11400 158 Road (po Box 249), Mayetta, KS 66509
- Phone
- (785) 966-8200
- Fax
- (785) 966-8393
Annual test volume the lab reported
- Waived tests
- 1,075
- Tests under accreditation
- 9,999
- Total
- 11,074
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Prairie Band Potawatomi Family Health Center in Mayetta?
17D0668588, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Prairie Band Potawatomi Family Health Center hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 17D0668588 expire?
The CMS file lists November 19, 2027 as the certificate expiration date; the certificate took effect November 20, 2025.