CLIA lab
CLIA 28D1005390: Jefferson County Ambulance District #33
Fairbury, NE. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 28D1005390 belongs to Jefferson County Ambulance District #33 in Fairbury, NE.
Certificate of Waiver, effective October 21, 2026, expires October 20, 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
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
- October 21, 2026
- Certificate expiration
- October 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 21, 2002
- Facility type
- Ambulance
- Ownership (control type)
- Government, county
- 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
- 28D1005390
- Lab name
- Jefferson County Ambulance District #33
- Address
- 606 3rd Street, Fairbury, NE 68352
- Phone
- (402) 729-3304
- Fax
- (402) 729-3618
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Fairbury, NE
- Blue Valley Community Action IncCertificate of Waiver, Other28D0670533
- Cedarwood Assisted LivingCertificate of Waiver, Other28D1020254
- Heritage Care CenterCertificate of Waiver, Skilled nursing or nursing facility28D0454736
- Jefferson Community Health & Life - FairburyCertificate of Waiver, Community clinic28D0454733
- Jefferson Community Health & Life - Gardenside LTCCertificate of Waiver, Skilled nursing or nursing facility28D2191173
- Jefferson Community Health Center IncCertificate of Compliance, Hospital28D0047585
- Jefferson County Sheriff's OfficeCertificate of Waiver, Prison28D2150484
- Walmart Pharmacy 10-0418Certificate of Waiver, Pharmacy28D2129321
Related
Questions
What is the CLIA number for Jefferson County Ambulance District #33 in Fairbury?
28D1005390, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jefferson County Ambulance District #33 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 28D1005390 expire?
The CMS file lists October 20, 2028 as the certificate expiration date; the certificate took effect October 21, 2026.