CLIA lab
CLIA 28D1017877: Matelyn Retirement Community
St Paul, NE. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 28D1017877 belongs to Matelyn Retirement Community in St Paul, NE.
Certificate of Waiver, effective February 9, 2026, expires February 8, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- February 9, 2026
- Certificate expiration
- February 8, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 7, 2003
- Facility type
- Assisted living facility
- Ownership (control type)
- Private
- 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
- 28D1017877
- Lab name
- Matelyn Retirement Community
- Address
- 602 O Street, St Paul, NE 68873
- Phone
- (308) 754-6022
- Fax
- (308) 754-9126
Annual test volume the lab reported
- Waived tests
- 4,000
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 Matelyn Retirement Community in St Paul?
28D1017877, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Matelyn Retirement Community hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 28D1017877 expire?
The CMS file lists February 8, 2028 as the certificate expiration date; the certificate took effect February 9, 2026.