CLIA lab
CLIA 28D1030699: Immanuel Trinity Village
Papillion, NE. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 28D1030699 belongs to Immanuel Trinity Village in Papillion, NE.
Certificate of Waiver, effective September 13, 2026, expires September 12, 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
- September 13, 2026
- Certificate expiration
- September 12, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 13, 2004
- Facility type
- Assisted living facility
- Ownership (control type)
- Other
- 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
- 28D1030699
- Lab name
- Immanuel Trinity Village
- Address
- 522 W Lincoln, Papillion, NE 68046
- Phone
- (402) 614-5505
- Fax
- (402) 614-5506
Annual test volume the lab reported
- Waived tests
- 12
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Papillion, NE
- All Seasons Family MedicineCertificate of Waiver, Physician office28D2260017
- Ambi's Home Healthcare, LLCCertificate of Waiver, Home health agency28D1102819
- Chi Health Ambulatory Surgery Center at MidlandsCertificate of Waiver, Physician office28D2115123
- Chi Health Clinic Heart Institute MidlandsCertificate of Waiver, Physician office28D1000178
- Chi Health Clinic Internal Medicine-Midlands 1820Certificate for Provider-Performed Microscopy Procedures, Physician office28D0679855
- Chi Health Clinic MidlandsCertificate for Provider-Performed Microscopy Procedures, Physician office28D0453559
- Chi Health Clinic Women's-MidlandsCertificate for Provider-Performed Microscopy Procedures, Physician office28D1098089
- Chi Health Midlands LaboratoryCertificate of Accreditation, Hospital28D0453563
- Envisions, IncCertificate of Waiver, Other28D1027778
- Hce-Cottages LLC DBACertificate of Waiver, Skilled nursing or nursing facility28D1086407
Related
Questions
What is the CLIA number for Immanuel Trinity Village in Papillion?
28D1030699, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Immanuel Trinity Village hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 28D1030699 expire?
The CMS file lists September 12, 2028 as the certificate expiration date; the certificate took effect September 13, 2026.