CLIA lab
CLIA 17D2056640: Hodgeman County EMS
Jetmore, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D2056640 belongs to Hodgeman County EMS in Jetmore, KS.
Certificate of Waiver, effective April 1, 2025, expires March 31, 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
- April 1, 2025
- Certificate expiration
- March 31, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 1, 2013
- Facility type
- Ambulance
- Ownership (control type)
- Government, county
- 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
- 17D2056640
- Lab name
- Hodgeman County EMS
- Address
- 508 Roughton Street, Jetmore, KS 67854
- Phone
- (620) 255-9584
- Fax
- (620) 393-5073
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Hodgeman County EMS in Jetmore?
17D2056640, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hodgeman County EMS hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D2056640 expire?
The CMS file lists March 31, 2027 as the certificate expiration date; the certificate took effect April 1, 2025.