CLIA lab
CLIA 28D0453562: Hillcrest Shadow Lake LLC DBA
Papillion, NE. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 28D0453562 belongs to Hillcrest Shadow Lake LLC DBA in Papillion, NE.
Certificate of Waiver, effective September 1, 2026, expires August 31, 2028.
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
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 14, 1992
- Facility type
- Skilled nursing or nursing 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
- 28D0453562
- Lab name
- Hillcrest Shadow Lake LLC DBA
- Additional name
- Hillcrest Shadow Lake
- Address
- 1507 Gold Coast Rd, Papillion, NE 68046
- Phone
- (402) 682-4800
- Fax
- (402) 682-4253
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Papillion, NE
- All Seasons Family MedicineCertificate of Waiver, Physician office28D2260017
- Ambi's Home Healthcare, LLCCertificate of Waiver, Home health agency28D1102819
- Chi Health Ambulatory Surgery Center at MidlandsCertificate of Waiver, Physician office28D2115123
- Chi Health Clinic Heart Institute MidlandsCertificate of Waiver, Physician office28D1000178
- Chi Health Clinic Internal Medicine-Midlands 1820Certificate for Provider-Performed Microscopy Procedures, Physician office28D0679855
- Chi Health Clinic MidlandsCertificate for Provider-Performed Microscopy Procedures, Physician office28D0453559
- Chi Health Clinic Women's-MidlandsCertificate for Provider-Performed Microscopy Procedures, Physician office28D1098089
- Chi Health Midlands LaboratoryCertificate of Accreditation, Hospital28D0453563
- Envisions, IncCertificate of Waiver, Other28D1027778
- Hce-Cottages LLC DBACertificate of Waiver, Skilled nursing or nursing facility28D1086407
Related
Questions
What is the CLIA number for Hillcrest Shadow Lake LLC DBA in Papillion?
28D0453562, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hillcrest Shadow Lake LLC DBA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 28D0453562 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.