CLIA lab
CLIA 17D2239032: Usd 384
Randolph, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D2239032 belongs to Usd 384 in Randolph, KS.
Certificate of Waiver, effective October 8, 2025, expires October 7, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- October 8, 2025
- Certificate expiration
- October 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 8, 2021
- Facility type
- School or student health service
- Ownership (control type)
- Government, state
- 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
- 17D2239032
- Lab name
- Usd 384
- Address
- 3 Ram Way, Randolph, KS 66554
- Phone
- (785) 293-5256
- Fax
- (785) 293-5607
Annual test volume the lab reported
- Waived tests
- 3,400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Usd 384 in Randolph?
17D2239032, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Usd 384 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D2239032 expire?
The CMS file lists October 7, 2027 as the certificate expiration date; the certificate took effect October 8, 2025.