CLIA lab
CLIA 28D0958691: Davenport Medical Clinic
Davenport, NE. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 28D0958691 belongs to Davenport Medical Clinic in Davenport, NE.
Certificate of Waiver, effective March 24, 2025, expires March 23, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- March 24, 2025
- Certificate expiration
- March 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 24, 1999
- Facility type
- Rural health clinic
- Ownership (control type)
- Government, county
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 28D0958691
- Lab name
- Davenport Medical Clinic
- Address
- 105 Linden Ave, Davenport, NE 68335
- Phone
- (402) 768-7203
- Fax
- (402) 768-4672
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Related
Questions
What is the CLIA number for Davenport Medical Clinic in Davenport?
28D0958691, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Davenport Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 28D0958691 expire?
The CMS file lists March 23, 2027 as the certificate expiration date; the certificate took effect March 24, 2025.