CLIA lab
CLIA 17D0972058: Peterson Assisted Living
Osage City, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D0972058 belongs to Peterson Assisted Living in Osage City, KS.
Certificate of Waiver, effective March 28, 2026, expires March 27, 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
- March 28, 2026
- Certificate expiration
- March 27, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 28, 2000
- Facility type
- Other
- 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
- 17D0972058
- Lab name
- Peterson Assisted Living
- Address
- 629 Holliday St, Osage City, KS 66523
- Phone
- (785) 528-3301
- Fax
- (785) 528-3501
Annual test volume the lab reported
- Waived tests
- 310
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Osage City, KS
- Auburn Pharmacy #170Certificate of Waiver, Pharmacy17D2204732
- Homestead of Osage CityCertificate of Waiver, Assisted living facility17D0955554
- Osage Nursing CenterCertificate of Waiver, Skilled nursing or nursing facility17D0449965
- Stormont Vail Health Osage CityCertificate of Waiver, Physician office17D0449966
Related
Questions
What is the CLIA number for Peterson Assisted Living in Osage City?
17D0972058, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Peterson Assisted Living hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D0972058 expire?
The CMS file lists March 27, 2028 as the certificate expiration date; the certificate took effect March 28, 2026.