CLIA lab
CLIA 28D1065158: Stone Hearth Estates
Gothenburg, NE. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 28D1065158 belongs to Stone Hearth Estates in Gothenburg, NE.
Certificate of Waiver, effective February 23, 2025, expires February 22, 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
- February 23, 2025
- Certificate expiration
- February 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 23, 2007
- 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
- 28D1065158
- Lab name
- Stone Hearth Estates
- Address
- 110 W 20th Street, Suite 400, Gothenburg, NE 69138
- Phone
- (308) 537-7771
- Fax
- (308) 537-7787
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.
Other labs in Gothenburg, NE
- Gothenburg Memorial HospitalCertificate of Compliance, Hospital28D0456369
- Gothenburg Rural Health ClinicCertificate of Waiver, Rural health clinic28D2074172
- Gothenburg Volunteer Fire DeptCertificate of Waiver, Ambulance28D1041315
- Hilltop EstatesCertificate of Waiver, Skilled nursing or nursing facility28D0898544
- Remedy, LLC, theCertificate of Waiver, Other practitioner28D2146863
Related
Questions
What is the CLIA number for Stone Hearth Estates in Gothenburg?
28D1065158, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Stone Hearth Estates hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 28D1065158 expire?
The CMS file lists February 22, 2027 as the certificate expiration date; the certificate took effect February 23, 2025.