CLIA lab
CLIA 17D0933656: Stanton County Family Practice
Johnson, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D0933656 belongs to Stanton County Family Practice in Johnson, KS.
Certificate of Waiver, effective September 18, 2025, expires September 17, 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
- September 18, 2025
- Certificate expiration
- September 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 18, 1997
- Facility type
- Community clinic
- Ownership (control type)
- Government, county
- 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
- 17D0933656
- Lab name
- Stanton County Family Practice
- Address
- 404 North Chestnut Street, Johnson, KS 67855
- Phone
- (620) 492-6250
- Fax
- (620) 492-1608
Annual test volume the lab reported
- Waived tests
- 72
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Johnson, KS
- Memorial Living CenterCertificate of Waiver, Assisted living facility17D2216454
- Stanton County ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office17D0453223
- Stanton County EMSCertificate of Waiver, Ambulance17D0980592
- Stanton County Health DepatmentCertificate of Waiver, Community clinic17D0667046
- Stanton County HospitalCertificate of Compliance, Hospital17D0453224
- Stanton County Hospital, LTC, NursingCertificate of Waiver, Skilled nursing or nursing facility17D1025031
- Stanton County Hospital, Ltcu, and Family PracticeCertificate of Waiver, Ancillary test site17D1025032
Related
Questions
What is the CLIA number for Stanton County Family Practice in Johnson?
17D0933656, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Stanton County Family Practice hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D0933656 expire?
The CMS file lists September 17, 2027 as the certificate expiration date; the certificate took effect September 18, 2025.