CLIA lab

CLIA 28D1017055: Grand Island Dermatology PC

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

CLIA number 28D1017055 belongs to Grand Island Dermatology PC in Grand Island, NE.

Certificate for Provider-Performed Microscopy Procedures, effective September 16, 2025, expires September 15, 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 for Provider-Performed Microscopy Procedures
Certificate effective
September 16, 2025
Certificate expiration
September 15, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 16, 2003
Facility type
Physician office
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
28D1017055
Lab name
Grand Island Dermatology PC
Address
418 N Webb Road, Grand Island, NE 68803
Phone
(308) 384-9300
Fax
(308) 384-4542

Annual test volume the lab reported

Waived tests
200

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

Other labs in Grand Island, NE

Related

Questions

What is the CLIA number for Grand Island Dermatology PC in Grand Island?

28D1017055, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Grand Island Dermatology PC hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 28D1017055 expire?

The CMS file lists September 15, 2027 as the certificate expiration date; the certificate took effect September 16, 2025.

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