CLIA lab

CLIA 28D1019699: Cottonwood Villa

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

CLIA number 28D1019699 belongs to Cottonwood Villa in Ainsworth, NE.

Certificate of Waiver, effective November 25, 2025, expires November 24, 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
November 25, 2025
Certificate expiration
November 24, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 25, 2003
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
28D1019699
Lab name
Cottonwood Villa
Address
450 South Main Street, Ainsworth, NE 69210
Phone
(402) 387-1000
Fax
(402) 387-1015

Annual test volume the lab reported

Waived tests
3,700

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

Other labs in Ainsworth, NE

Related

Questions

What is the CLIA number for Cottonwood Villa in Ainsworth?

28D1019699, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Cottonwood Villa hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 28D1019699 expire?

The CMS file lists November 24, 2027 as the certificate expiration date; the certificate took effect November 25, 2025.

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