CLIA lab

CLIA 28D1066177: Fulmer Pharmacy

Holdrege, NE. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 28D1066177 belongs to Fulmer Pharmacy in Holdrege, NE.

Certificate of Waiver, effective March 19, 2025, expires March 18, 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
March 19, 2025
Certificate expiration
March 18, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 19, 2007
Facility type
Pharmacy
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
28D1066177
Lab name
Fulmer Pharmacy
Address
1317 Hill Street, Holdrege, NE 68949
Phone
(308) 995-4401
Fax
(308) 995-8834

Annual test volume the lab reported

Waived tests
100

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Fulmer Pharmacy in Holdrege?

28D1066177, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Fulmer Pharmacy hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 28D1066177 expire?

The CMS file lists March 18, 2027 as the certificate expiration date; the certificate took effect March 19, 2025.

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