CLIA lab

CLIA 17D1004263: Jackson County EMS

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

CLIA number 17D1004263 belongs to Jackson County EMS in Holton, KS.

Certificate of Waiver, effective September 23, 2026, expires September 22, 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
September 23, 2026
Certificate expiration
September 22, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 23, 2002
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
17D1004263
Lab name
Jackson County EMS
Address
300 W 4th St, Holton, KS 66436
Phone
(785) 364-1911
Fax
(785) 364-9307

Annual test volume the lab reported

Waived tests
400

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Holton, KS

Related

Questions

What is the CLIA number for Jackson County EMS in Holton?

17D1004263, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Jackson County EMS hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 17D1004263 expire?

The CMS file lists September 22, 2028 as the certificate expiration date; the certificate took effect September 23, 2026.

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