CLIA lab
CLIA 17D0906649: Fort Scott Presbyterian Village
Fort Scott, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D0906649 belongs to Fort Scott Presbyterian Village in Fort Scott, KS.
Certificate of Waiver, effective October 3, 2025, expires October 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 of Waiver
- Certificate effective
- October 3, 2025
- Certificate expiration
- October 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 6, 1995
- Facility type
- Assisted living facility
- Ownership (control type)
- 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
- 17D0906649
- Lab name
- Fort Scott Presbyterian Village
- Address
- 2401 South Horton Street, Fort Scott, KS 66701
- Phone
- (620) 223-5550
- Fax
- (620) 223-7800
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Fort Scott, KS
- Bourbon County EMSCertificate of Waiver, Ambulance17D2159416
- Community Health Center of Sek Fort ScottCertificate of Waiver, Federally qualified health center17D2165898
- Community Health Center of Southeast KansasCertificate of Waiver, Federally qualified health center17D2145179
- Country Place Memory Care of Fort ScottCertificate of Waiver, Assisted living facility17D2114616
- FT Scott Surgery Center LLCCertificate of Waiver, Ambulatory surgery center17D2014879
- Fort Scott CbocCertificate of Accreditation, Ambulatory surgery center17D1096274
- Fort Scott Family Medicine, PACertificate for Provider-Performed Microscopy Procedures, Physician office17D0986178
- Freeman Fort Scott HospitalCertificate of Compliance, Hospital17D2328504
- Girard Medical Center of Fort ScottCertificate of Waiver, Rural health clinic17D2260418
- Kansas Renewal InstituteCertificate of Waiver, Other17D2303576
Related
Questions
What is the CLIA number for Fort Scott Presbyterian Village in Fort Scott?
17D0906649, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fort Scott Presbyterian Village hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D0906649 expire?
The CMS file lists October 2, 2027 as the certificate expiration date; the certificate took effect October 3, 2025.