CLIA lab
CLIA 17D2206563: Mauck Medical Clinic, LLC
Hoxie, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D2206563 belongs to Mauck Medical Clinic, LLC in Hoxie, KS.
Certificate of Waiver, effective December 21, 2024, expires December 20, 2026.
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
- December 21, 2024
- Certificate expiration
- December 20, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 21, 2020
- Facility type
- Other practitioner
- 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
- 17D2206563
- Lab name
- Mauck Medical Clinic, LLC
- Address
- 907 Pine Ave, Suite D, Hoxie, KS 67740
- Phone
- (785) 677-3930
- Fax
- (785) 677-3931
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.
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Related
Questions
What is the CLIA number for Mauck Medical Clinic, LLC in Hoxie?
17D2206563, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mauck Medical Clinic, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D2206563 expire?
The CMS file lists December 20, 2026 as the certificate expiration date; the certificate took effect December 21, 2024.