CLIA lab

CLIA 17D1105264: Rupp Urology Clinic - Emporia

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

CLIA number 17D1105264 belongs to Rupp Urology Clinic - Emporia in Emporia, KS.

Certificate of Waiver, effective September 21, 2025, expires September 20, 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
September 21, 2025
Certificate expiration
September 20, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 21, 2009
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
17D1105264
Lab name
Rupp Urology Clinic - Emporia
Address
1301 West 13th Avenue Suite 201, Emporia, KS 66801
Phone
(785) 354-7877
Fax
(785) 354-7878

Annual test volume the lab reported

Waived tests
1,000

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

Affiliated CLIA numbers

Other labs in Emporia, KS

Related

Questions

What is the CLIA number for Rupp Urology Clinic - Emporia in Emporia?

17D1105264, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Rupp Urology Clinic - Emporia hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 17D1105264 expire?

The CMS file lists September 20, 2027 as the certificate expiration date; the certificate took effect September 21, 2025.

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