CLIA lab

CLIA 17D1099121: Americare at Montgomery Place

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

CLIA number 17D1099121 belongs to Americare at Montgomery Place in Independence, KS.

Certificate of Waiver, effective May 6, 2025, expires May 5, 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

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Waiver
Certificate effective
May 6, 2025
Certificate expiration
May 5, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 6, 2009
Facility type
Skilled nursing or nursing facility
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
17D1099121
Lab name
Americare at Montgomery Place
Address
614 South Eighth Street, Independence, KS 67301
Phone
(620) 331-2577
Fax
(573) 312-3764

Annual test volume the lab reported

Waived tests
10,000

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

Other labs in Independence, KS

Related

Questions

What is the CLIA number for Americare at Montgomery Place in Independence?

17D1099121, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Americare at Montgomery Place hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 17D1099121 expire?

The CMS file lists May 5, 2027 as the certificate expiration date; the certificate took effect May 6, 2025.

Try it on your own data today.

Free to start. Most teams are using it the same day.