CLIA lab
CLIA 17D0890191: Montezuma Rural Health Clinic
Montezuma, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D0890191 belongs to Montezuma Rural Health Clinic in Montezuma, KS.
Certificate for Provider-Performed Microscopy Procedures, effective August 15, 2026, expires August 14, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- August 15, 2026
- Certificate expiration
- August 14, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 15, 1994
- Facility type
- Rural health clinic
- Ownership (control type)
- 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
- 17D0890191
- Lab name
- Montezuma Rural Health Clinic
- Address
- 304 N Aztec Street, Montezuma, KS 67867
- Phone
- (620) 846-2251
- Fax
- (620) 846-2163
Annual test volume the lab reported
- Waived tests
- 150
- Provider-performed microscopy tests
- 10
- Total
- 160
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Montezuma, KS
Related
Questions
What is the CLIA number for Montezuma Rural Health Clinic in Montezuma?
17D0890191, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Montezuma Rural Health Clinic hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 17D0890191 expire?
The CMS file lists August 14, 2028 as the certificate expiration date; the certificate took effect August 15, 2026.