CLIA lab

CLIA 17D0865420: Satanta Hospital Clinic Sublette Branch RH

Sublette, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 17D0865420 belongs to Satanta Hospital Clinic Sublette Branch RH in Sublette, KS.

Certificate for Provider-Performed Microscopy Procedures, effective May 3, 2025, expires May 2, 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 for Provider-Performed Microscopy Procedures
Certificate effective
May 3, 2025
Certificate expiration
May 2, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 23, 1993
Facility type
Rural health clinic
Ownership (control type)
Government, other
Lab classification
CLIA laboratory
Directly affiliated labs
2

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
17D0865420
Lab name
Satanta Hospital Clinic Sublette Branch RH
Address
301 South Derby Street, Sublette, KS 67877
Phone
(620) 682-8421
Fax
(620) 649-2775

Annual test volume the lab reported

Waived tests
182
Provider-performed microscopy tests
5
Total
187

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Sublette, KS

Related

Questions

What is the CLIA number for Satanta Hospital Clinic Sublette Branch RH in Sublette?

17D0865420, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Satanta Hospital Clinic Sublette Branch RH hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 17D0865420 expire?

The CMS file lists May 2, 2027 as the certificate expiration date; the certificate took effect May 3, 2025.

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