CLIA lab
CLIA 28D1020256: Prime Home Care LLC
La Vista, NE. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 28D1020256 belongs to Prime Home Care LLC in La Vista, NE.
Certificate of Waiver, effective December 16, 2025, expires December 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
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
- December 16, 2025
- Certificate expiration
- December 15, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 16, 2003
- Facility type
- Home health agency
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 28D1020256
- Lab name
- Prime Home Care LLC
- Address
- 8614 Giles Road, La Vista, NE 68128
- Phone
- (402) 390-2492
- Fax
- (402) 390-9070
Annual test volume the lab reported
- Waived tests
- 20
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Prime Home CareCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in La Vista, NE
- Cedarhurst LavistaCertificate of Waiver, Assisted living facility28D2171899
- Life Care Family Medicine of Bellevue, PCCertificate for Provider-Performed Microscopy Procedures, Physician office28D2021384
- Minuteclinic Diagnostic of Nebraska, LLC #02741Certificate of Waiver, Other28D2072700
- Papillion Fire & EMS Department - Station #1Certificate of Waiver, Ambulance28D2077281
- Walmart Pharmacy 10-3173Certificate of Waiver, Pharmacy28D2160114
Related
Questions
What is the CLIA number for Prime Home Care LLC in La Vista?
28D1020256, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Prime Home Care LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 28D1020256 expire?
The CMS file lists December 15, 2027 as the certificate expiration date; the certificate took effect December 16, 2025.