CLIA lab
CLIA 28D1027779: Assisted Living at Lakeside Village
Omaha, NE. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 28D1027779 belongs to Assisted Living at Lakeside Village in Omaha, NE.
Certificate of Waiver, effective July 9, 2026, expires July 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
- July 9, 2026
- Certificate expiration
- July 8, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 9, 2004
- Facility type
- Ambulance
- Ownership (control type)
- Religious affiliation
- 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
- 28D1027779
- Lab name
- Assisted Living at Lakeside Village
- Address
- 17475 Frances Street, Omaha, NE 68130
- Phone
- (402) 829-9022
- Fax
- (402) 829-9021
Annual test volume the lab reported
- Waived tests
- 700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Omaha, NE
- 3P Health Partners, LLCCertificate of Waiver, Physician office28D2142957
- Adorn Senior Home Care LLCCertificate of Waiver, Home health agency28D2270844
- Advanced Dermatology of the Midlands, PCCertificate of Compliance, Physician office28D2068808
- Advanced Dermatology of the Midlands, PCCertificate for Provider-Performed Microscopy Procedures, Physician office28D2184966
- Aegis Home Health CareCertificate of Waiver, Home health agency28D2311630
- Aegis HospiceCertificate of Waiver, Hospice28D2311635
- Aesthetic Physicians, PC DBA Sono BelloCertificate of Waiver, Physician office28D2269298
- Aksarben Village Retirement CommunityCertificate of Waiver, Assisted living facility28D2115347
- Amakes Quality Home Care IncCertificate of Waiver, Home health agency28D1095410
- Ambassador Omaha Inc, theCertificate of Waiver, Skilled nursing or nursing facility28D0716786
Related
Questions
What is the CLIA number for Assisted Living at Lakeside Village in Omaha?
28D1027779, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Assisted Living at Lakeside Village hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 28D1027779 expire?
The CMS file lists July 8, 2028 as the certificate expiration date; the certificate took effect July 9, 2026.