CLIA lab

CLIA 17D2183958: Guest Home Estate IV

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

CLIA number 17D2183958 belongs to Guest Home Estate IV in Pittsburg, KS.

Certificate of Waiver, effective May 12, 2026, expires May 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
May 12, 2026
Certificate expiration
May 11, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 12, 2020
Facility type
Assisted living 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
17D2183958
Lab name
Guest Home Estate IV
Address
1910 E Centennial Drive, Pittsburg, KS 66762
Phone
(620) 235-0522
Fax
(620) 235-0533

Annual test volume the lab reported

Waived tests
100

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

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Questions

What is the CLIA number for Guest Home Estate IV in Pittsburg?

17D2183958, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Guest Home Estate IV hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 17D2183958 expire?

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

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