CLIA lab

CLIA 17D2180407: Ottawa County Fire Destrict #4

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

CLIA number 17D2180407 belongs to Ottawa County Fire Destrict #4 in Bennington, KS.

Certificate of Waiver, effective March 12, 2026, expires March 11, 2028.

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
March 12, 2026
Certificate expiration
March 11, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 12, 2020
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
17D2180407
Lab name
Ottawa County Fire Destrict #4
Address
584 N 180th Rd, Bennington, KS 67422
Phone
(785) 488-3768
Fax
(785) 488-3774

Annual test volume the lab reported

Waived tests
500

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

Other labs in Bennington, KS

Related

Questions

What is the CLIA number for Ottawa County Fire Destrict #4 in Bennington?

17D2180407, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ottawa County Fire Destrict #4 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 17D2180407 expire?

The CMS file lists March 11, 2028 as the certificate expiration date; the certificate took effect March 12, 2026.

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