CLIA lab
CLIA 17D2216454: Memorial Living Center
Johnson, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D2216454 belongs to Memorial Living Center in Johnson, KS.
Certificate of Waiver, effective March 12, 2025, expires March 11, 2027.
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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- March 12, 2025
- Certificate expiration
- March 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 12, 2021
- Facility type
- Assisted living facility
- Ownership (control type)
- Government, county
- 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
- 17D2216454
- Lab name
- Memorial Living Center
- Address
- 102 E Lane Dr, Johnson, KS 67855
- Phone
- (620) 492-2356
- Fax
- (620) 492-4241
Annual test volume the lab reported
- Waived tests
- 240
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Johnson, KS
- Stanton County ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office17D0453223
- Stanton County EMSCertificate of Waiver, Ambulance17D0980592
- Stanton County Family PracticeCertificate of Waiver, Community clinic17D0933656
- Stanton County Health DepatmentCertificate of Waiver, Community clinic17D0667046
- Stanton County HospitalCertificate of Compliance, Hospital17D0453224
- Stanton County Hospital, LTC, NursingCertificate of Waiver, Skilled nursing or nursing facility17D1025031
- Stanton County Hospital, Ltcu, and Family PracticeCertificate of Waiver, Ancillary test site17D1025032
Related
Questions
What is the CLIA number for Memorial Living Center in Johnson?
17D2216454, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Memorial Living Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D2216454 expire?
The CMS file lists March 11, 2027 as the certificate expiration date; the certificate took effect March 12, 2025.