CLIA lab
CLIA 28D1005428: Off Broadway Assisted and Independent Living
Broken Bow, NE. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 28D1005428 belongs to Off Broadway Assisted and Independent Living in Broken Bow, NE.
Certificate of Waiver, effective October 15, 2025, expires October 14, 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
- October 15, 2025
- Certificate expiration
- October 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 22, 2002
- Facility type
- Other
- Ownership (control type)
- Proprietary
- 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
- 28D1005428
- Lab name
- Off Broadway Assisted and Independent Living
- Additional name
- Facility
- Address
- 403 South 1st Avenue, Broken Bow, NE 68822
- Phone
- (308) 872-2522
- Fax
- (308) 872-2783
Annual test volume the lab reported
- Waived tests
- 2,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Broken Bow, NE
- Broken Bow Ambulance ServiceCertificate of Waiver, Ambulance28D0989735
- Brookestone ViewCertificate of Waiver, Skilled nursing or nursing facility28D2119743
- Click Family Healthcare - Broken BowCertificate of Waiver, Physician office28D2196432
- Jennie M Melham Memorial Medical CenterCertificate of Compliance, Hospital28D0455865
- Quality Senior Villages IncCertificate of Waiver, Assisted living facility28D2209740
- Thryve Family Healthcare, LLCCertificate of Waiver, Other practitioner28D2340650
Related
Questions
What is the CLIA number for Off Broadway Assisted and Independent Living in Broken Bow?
28D1005428, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Off Broadway Assisted and Independent Living hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 28D1005428 expire?
The CMS file lists October 14, 2027 as the certificate expiration date; the certificate took effect October 15, 2025.