CLIA lab
CLIA 28D0456369: Gothenburg Memorial Hospital
Gothenburg, NE. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 28D0456369 belongs to Gothenburg Memorial Hospital in Gothenburg, NE.
Certificate of Compliance, effective May 5, 2025, expires May 4, 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 5, 2025
- Certificate expiration
- May 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Hospital
- Ownership (control type)
- Government, other
- 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
- 28D0456369
- Lab name
- Gothenburg Memorial Hospital
- Address
- 910 20th Street, Gothenburg, NE 69138
- Phone
- (308) 537-4047
- Fax
- (308) 537-4092
Annual test volume the lab reported
- Waived tests
- 12,444
- Other nonwaived tests
- 17,911
- Total
- 30,355
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Gothenburg, NE
- Gothenburg Rural Health ClinicCertificate of Waiver, Rural health clinic28D2074172
- Gothenburg Volunteer Fire DeptCertificate of Waiver, Ambulance28D1041315
- Hilltop EstatesCertificate of Waiver, Skilled nursing or nursing facility28D0898544
- Remedy, LLC, theCertificate of Waiver, Other practitioner28D2146863
- Stone Hearth EstatesCertificate of Waiver, Other28D1065158
Related
Questions
What is the CLIA number for Gothenburg Memorial Hospital in Gothenburg?
28D0456369, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Gothenburg Memorial Hospital hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 28D0456369 expire?
The CMS file lists May 4, 2027 as the certificate expiration date; the certificate took effect May 5, 2025.