CLIA lab
CLIA 28D1044725: Wallace Ambulance Service
Wallace, NE. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 28D1044725 belongs to Wallace Ambulance Service in Wallace, NE.
Certificate of Waiver, effective August 26, 2025, expires August 25, 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
- August 26, 2025
- Certificate expiration
- August 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 26, 2005
- Facility type
- Ambulance
- Ownership (control type)
- Government, county
- 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
- 28D1044725
- Lab name
- Wallace Ambulance Service
- Address
- 109 S Commercial Ave, Wallace, NE 69169
- Phone
- (308) 387-4534
- Fax
- (308) 387-4334
Annual test volume the lab reported
- Waived tests
- 15
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 Wallace Ambulance Service in Wallace?
28D1044725, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wallace Ambulance Service hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 28D1044725 expire?
The CMS file lists August 25, 2027 as the certificate expiration date; the certificate took effect August 26, 2025.