CLIA lab

CLIA 17D2193609: Rock Creek Care Home

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

CLIA number 17D2193609 belongs to Rock Creek Care Home in Ottawa, KS.

Certificate of Waiver, effective January 3, 2026, expires January 2, 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
January 3, 2026
Certificate expiration
January 2, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 23, 2020
Facility type
Skilled nursing or nursing 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
17D2193609
Lab name
Rock Creek Care Home
Address
27 E Rockwood Dr, Ottawa, KS 66067
Phone
(785) 521-3532
Fax
(785) 214-4271

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.

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Questions

What is the CLIA number for Rock Creek Care Home in Ottawa?

17D2193609, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Rock Creek Care Home hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 17D2193609 expire?

The CMS file lists January 2, 2028 as the certificate expiration date; the certificate took effect January 3, 2026.

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