CLIA lab
CLIA 17D0875523: Kickapoo Nation Health Center Lab
Horton, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D0875523 belongs to Kickapoo Nation Health Center Lab in Horton, KS.
Certificate of Waiver, effective January 7, 2025, expires January 6, 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 Waiver
- Certificate effective
- January 7, 2025
- Certificate expiration
- January 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 25, 1993
- Facility type
- Federally qualified health center
- Ownership (control type)
- Government, other
- 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
- 17D0875523
- Lab name
- Kickapoo Nation Health Center Lab
- Address
- 1117 Goldfinch Road, Horton, KS 66439
- Phone
- (785) 915-9751
- Fax
- (785) 329-4798
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Horton, KS
Related
Questions
What is the CLIA number for Kickapoo Nation Health Center Lab in Horton?
17D0875523, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kickapoo Nation Health Center Lab hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D0875523 expire?
The CMS file lists January 6, 2027 as the certificate expiration date; the certificate took effect January 7, 2025.