CLIA lab
CLIA 17D2164419: Tyson Fresh Meats (Beef)
Holcomb, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D2164419 belongs to Tyson Fresh Meats (Beef) in Holcomb, KS.
Certificate of Waiver, effective April 4, 2025, expires April 3, 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 RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 4, 2025
- Certificate expiration
- April 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 4, 2019
- Facility type
- Industrial
- 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
- 17D2164419
- Lab name
- Tyson Fresh Meats (Beef)
- Address
- 3105 N Ibp Road, Holcomb, KS 67851
- Phone
- (620) 277-4257
- Fax
- (620) 277-4022
Annual test volume the lab reported
- Waived tests
- 1,633
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Tyson Fresh Meats (Beef) in Holcomb?
17D2164419, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tyson Fresh Meats (Beef) hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D2164419 expire?
The CMS file lists April 3, 2027 as the certificate expiration date; the certificate took effect April 4, 2025.