CLIA lab
CLIA 28D0456520: Ponderosa Villa
Crawford, NE. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 28D0456520 belongs to Ponderosa Villa in Crawford, 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
- January 11, 1993
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Government, city
- 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
- 28D0456520
- Lab name
- Ponderosa Villa
- Address
- 1st & Paddock, Crawford, NE 69339
- Phone
- (308) 665-1224
Annual test volume the lab reported
- Waived tests
- 364
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Crawford, NE
Related
Questions
What is the CLIA number for Ponderosa Villa in Crawford?
28D0456520, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ponderosa Villa hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 28D0456520 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.