CLIA lab

CLIA 17D0921210: Countryside Health Center

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

CLIA number 17D0921210 belongs to Countryside Health Center in Topeka, KS.

Certificate of Waiver, effective October 22, 2026, expires October 21, 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 of Waiver
Certificate effective
October 22, 2026
Certificate expiration
October 21, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
October 22, 1996
Facility type
Skilled nursing or nursing facility
Ownership (control type)
Proprietary
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
17D0921210
Lab name
Countryside Health Center
Address
440 SE Woodland Ave, Topeka, KS 66607
Phone
(785) 228-7971
Fax
(785) 272-1480

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.

Care facility at this address

Other labs in Topeka, KS

Related

Questions

What is the CLIA number for Countryside Health Center in Topeka?

17D0921210, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Countryside Health Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 17D0921210 expire?

The CMS file lists October 21, 2028 as the certificate expiration date; the certificate took effect October 22, 2026.

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