CLIA lab
CLIA 28D1079526: Assisted Living at Grand Lodge
Lincoln, NE. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 28D1079526 belongs to Assisted Living at Grand Lodge in Lincoln, NE.
Certificate of Waiver, effective February 1, 2026, expires January 31, 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
- February 1, 2026
- Certificate expiration
- January 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 1, 2008
- 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
- 28D1079526
- Lab name
- Assisted Living at Grand Lodge
- Address
- 4400 S 80th Street, Lincoln, NE 68516
- Phone
- (402) 489-8003
- Fax
- (402) 489-8079
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.
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Related
Questions
What is the CLIA number for Assisted Living at Grand Lodge in Lincoln?
28D1079526, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Assisted Living at Grand Lodge hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 28D1079526 expire?
The CMS file lists January 31, 2028 as the certificate expiration date; the certificate took effect February 1, 2026.