CLIA lab
CLIA 17D2240475: Alderbrook Village
Arkansas City, KS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 17D2240475 belongs to Alderbrook Village in Arkansas City, KS.
Certificate of Waiver, effective October 20, 2025, expires October 19, 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 20, 2025
- Certificate expiration
- October 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 20, 2021
- Facility type
- Assisted living facility
- 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
- 17D2240475
- Lab name
- Alderbrook Village
- Address
- 402 East Windsor Rd, Arkansas City, KS 67005
- Phone
- (620) 442-4400
Annual test volume the lab reported
- Waived tests
- 11,100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Arkansas City, KS
- A-1 Rehydration Clinic and LoungeCertificate of Waiver, Other17D2317103
- Arkansas City Fire-Ems DeptCertificate of Waiver, Ambulance17D0982237
- Arkansas City Presbyterian ManorCertificate of Waiver, Skilled nursing or nursing facility17D0648289
- Dillons Pharmacy #38Certificate of Waiver, Pharmacy17D2028173
- General Electric Health ServicesCertificate of Waiver, Other17D2004800
- Graves Drug Ark CityCertificate of Waiver, Pharmacy17D2182661
- Medicalodge East Healthcare CenterCertificate of Waiver, Skilled nursing or nursing facility17D0450907
- SCK Health ClinicCertificate of Waiver, Physician office17D0451293
- South Central Kansas Clinic Primary CareCertificate of Waiver, Physician office17D0450896
- South Central Kansas Clinic, LLCCertificate of Waiver, Physician office17D0990644
Related
Questions
What is the CLIA number for Alderbrook Village in Arkansas City?
17D2240475, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Alderbrook Village hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 17D2240475 expire?
The CMS file lists October 19, 2027 as the certificate expiration date; the certificate took effect October 20, 2025.