CLIA lab

CLIA 28D0983122: Polk Volunteer Fire Department

Polk, NE. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 28D0983122 belongs to Polk Volunteer Fire Department in Polk, NE.

Certificate of Waiver, effective February 14, 2025, expires February 13, 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 Waiver
Certificate effective
February 14, 2025
Certificate expiration
February 13, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 14, 2001
Facility type
Ambulance
Ownership (control type)
Government, other
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
28D0983122
Lab name
Polk Volunteer Fire Department
Address
290 N Main, PO Box 74, Polk, NE 68654
Phone
(402) 765-2961

Annual test volume the lab reported

Waived tests
2

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Related

Questions

What is the CLIA number for Polk Volunteer Fire Department in Polk?

28D0983122, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Polk Volunteer Fire Department hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 28D0983122 expire?

The CMS file lists February 13, 2027 as the certificate expiration date; the certificate took effect February 14, 2025.

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