CLIA lab
CLIA 17D2193974: Good Samaritan Society - Prairie West
Ellsworth, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D2193974 belongs to Good Samaritan Society - Prairie West in Ellsworth, KS.
Certificate of Waiver, effective September 25, 2026, expires September 24, 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
- September 25, 2026
- Certificate expiration
- September 24, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 25, 2020
- Facility type
- Assisted living facility
- Ownership (control type)
- Private
- 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
- 17D2193974
- Lab name
- Good Samaritan Society - Prairie West
- Address
- 300 Bickerdyke Blvd, Ellsworth, KS 67439
- Phone
- (785) 472-3147
- Fax
- (785) 472-4323
Annual test volume the lab reported
- Waived tests
- 624
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Ellsworth, KS
- Ecmc - Rural Health ClinicCertificate of Waiver, Rural health clinic17D0452446
- Ellsworth Correctional Facility-East UnitCertificate of Waiver, Prison17D2301219
- Ellsworth County EMSCertificate of Waiver, Ambulance17D2138124
- Ellsworth County Health DepartmentCertificate of Waiver, Community clinic17D0665679
- Ellsworth County Medical CenterCertificate of Compliance, Hospital17D0648355
- Good Samaritan - EllsworthCertificate of Waiver, Skilled nursing or nursing facility17D0648356
Related
Questions
What is the CLIA number for Good Samaritan Society - Prairie West in Ellsworth?
17D2193974, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Good Samaritan Society - Prairie West hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D2193974 expire?
The CMS file lists September 24, 2028 as the certificate expiration date; the certificate took effect September 25, 2026.