CLIA lab
CLIA 17D1019177: Holton Family Medicine
Holton, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D1019177 belongs to Holton Family Medicine in Holton, KS.
Certificate of Waiver, effective November 12, 2025, expires November 11, 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 12, 2025
- Certificate expiration
- November 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 12, 2003
- Facility type
- Rural health clinic
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 17D1019177
- Lab name
- Holton Family Medicine
- Address
- 1110 Columbine Drive, Suite 100, Holton, KS 66436
- Phone
- (785) 364-2126
- Fax
- (785) 364-2801
Annual test volume the lab reported
- Waived tests
- 669
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Holton, KS
- Holton Community HospitalCertificate of Compliance, Hospital17D0449775
- Holton Direct Care, LLCCertificate of Waiver, Physician office17D2108874
- Holton Family Health ClinicCertificate of Waiver, Physician office17D0449996
- Holton Health Care CenterCertificate of Waiver, Skilled nursing or nursing facility17D2343615
- Holton Health Care Center, LLCCertificate of Waiver, Skilled nursing or nursing facility17D0670939
- Homestead of HoltonCertificate of Waiver, Assisted living facility17D0955556
- Jackson County EMSCertificate of Waiver, Ambulance17D1004263
- Jackson County JailCertificate of Waiver, Other17D2145140
- Medical Pharmacy, PACertificate of Waiver, Pharmacy17D2329834
- Usd 336 HoltonCertificate of Waiver, School or student health service17D2234367
Related
Questions
What is the CLIA number for Holton Family Medicine in Holton?
17D1019177, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Holton Family Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D1019177 expire?
The CMS file lists November 11, 2027 as the certificate expiration date; the certificate took effect November 12, 2025.