CLIA lab

CLIA 28D1067553: Country House

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

CLIA number 28D1067553 belongs to Country House in Grand Island, NE.

Certificate of Waiver, effective April 20, 2025, expires April 19, 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
April 20, 2025
Certificate expiration
April 19, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 20, 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
28D1067553
Lab name
Country House
Address
833 Alpha Street, Grand Island, NE 68803
Phone
(308) 381-1988
Fax
(308) 381-4005

Annual test volume the lab reported

Waived tests
1,500

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

Other labs in Grand Island, NE

Related

Questions

What is the CLIA number for Country House in Grand Island?

28D1067553, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Country House hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 28D1067553 expire?

The CMS file lists April 19, 2027 as the certificate expiration date; the certificate took effect April 20, 2025.

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