CLIA lab
CLIA 17D0980594: Potawatomi Tribal Fire Department & EMS
Mayetta, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D0980594 belongs to Potawatomi Tribal Fire Department & EMS in Mayetta, KS.
Certificate of Waiver, effective November 28, 2024, expires November 27, 2026.
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
- November 28, 2024
- Certificate expiration
- November 27, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 28, 2000
- Facility type
- Ambulance
- 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
- 17D0980594
- Lab name
- Potawatomi Tribal Fire Department & EMS
- Address
- 15482 K Road, Mayetta, KS 66509
- Phone
- (785) 966-2164
- Fax
- (785) 966-3040
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mayetta, KS
Related
Questions
What is the CLIA number for Potawatomi Tribal Fire Department & EMS in Mayetta?
17D0980594, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Potawatomi Tribal Fire Department & EMS hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D0980594 expire?
The CMS file lists November 27, 2026 as the certificate expiration date; the certificate took effect November 28, 2024.