CLIA lab
CLIA 17D1019091: Gridley Medical Clinic
Gridley, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D1019091 belongs to Gridley Medical Clinic in Gridley, KS.
Certificate of Waiver, effective November 10, 2025, expires November 9, 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
- November 10, 2025
- Certificate expiration
- November 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 10, 2003
- Facility type
- Rural health clinic
- Ownership (control type)
- Government, county
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 17D1019091
- Lab name
- Gridley Medical Clinic
- Address
- 321 Atherly, Gridley, KS 66852
- Phone
- (620) 836-2915
- Fax
- (620) 836-2917
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Related
Questions
What is the CLIA number for Gridley Medical Clinic in Gridley?
17D1019091, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Gridley Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D1019091 expire?
The CMS file lists November 9, 2027 as the certificate expiration date; the certificate took effect November 10, 2025.