CLIA lab
CLIA 17D2194268: Prairie Wind Villa
Phillipsburg, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D2194268 belongs to Prairie Wind Villa in Phillipsburg, KS.
Certificate of Waiver, effective September 29, 2024, expiration date September 28, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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 29, 2024
- Certificate expiration
- September 28, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 29, 2020
- Facility type
- Assisted living facility
- Ownership (control type)
- Other
- 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
- 17D2194268
- Lab name
- Prairie Wind Villa
- Address
- 1302 State Street, Phillipsburg, KS 67661
- Phone
- (785) 543-6180
- Fax
- (785) 543-5200
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Phillipsburg, KS
- Hospice Services of Northwest Kansas, IncCertificate of Waiver, Home health agency17D2172136
- Phillips Co Emergency Medical ServiceCertificate of Waiver, Ambulance17D0976715
- Phillips County Health DepartmentCertificate of Waiver, Public health laboratory18D0648386
- Phillips County Health SystemsCertificate of Compliance, Hospital17D0047279
- Phillips County Health SystemsCertificate of Waiver, Ancillary test site17D0879655
- Phillips County Medical ClinicCertificate of Waiver, Physician office17D0670033
Related
Questions
What is the CLIA number for Prairie Wind Villa in Phillipsburg?
17D2194268, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Prairie Wind Villa hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D2194268 expire?
The CMS file lists September 28, 2026 as the certificate expiration date; the certificate took effect September 29, 2024.