CLIA lab
CLIA 28D0455865: Jennie M Melham Memorial Medical Center
Broken Bow, NE. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 28D0455865 belongs to Jennie M Melham Memorial Medical Center in Broken Bow, NE.
Certificate of Compliance, effective May 4, 2025, expires May 3, 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 Compliance
- Certificate effective
- May 4, 2025
- Certificate expiration
- May 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Hospital
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 28D0455865
- Lab name
- Jennie M Melham Memorial Medical Center
- Address
- 145 Memorial Drive, Broken Bow, NE 68822
- Phone
- (308) 872-4131
- Fax
- (308) 872-4135
Annual test volume the lab reported
- Waived tests
- 11,948
- Other nonwaived tests
- 27,740
- Total
- 39,688
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Jennie M Melham Memorial Medical CenterCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Broken Bow, NE
- Broken Bow Ambulance ServiceCertificate of Waiver, Ambulance28D0989735
- Brookestone ViewCertificate of Waiver, Skilled nursing or nursing facility28D2119743
- Click Family Healthcare - Broken BowCertificate of Waiver, Physician office28D2196432
- Off Broadway Assisted and Independent LivingCertificate of Waiver, Other28D1005428
- Quality Senior Villages IncCertificate of Waiver, Assisted living facility28D2209740
- Thryve Family Healthcare, LLCCertificate of Waiver, Other practitioner28D2340650
Related
Questions
What is the CLIA number for Jennie M Melham Memorial Medical Center in Broken Bow?
28D0455865, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jennie M Melham Memorial Medical Center hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 28D0455865 expire?
The CMS file lists May 3, 2027 as the certificate expiration date; the certificate took effect May 4, 2025.