CLIA lab
CLIA 28D1083842: Haven Manor - Hickman
Hickman, NE. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 28D1083842 belongs to Haven Manor - Hickman in Hickman, NE.
Certificate of Waiver, effective May 12, 2026, expires May 11, 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
- May 12, 2026
- Certificate expiration
- May 11, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 12, 2008
- Facility type
- Assisted living facility
- 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
- 28D1083842
- Lab name
- Haven Manor - Hickman
- Address
- 730 Larkspur Drive, Hickman, NE 68372
- Phone
- (402) 792-3088
- Fax
- (402) 792-3055
Annual test volume the lab reported
- Waived tests
- 1,250
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 Haven Manor - Hickman in Hickman?
28D1083842, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Haven Manor - Hickman hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 28D1083842 expire?
The CMS file lists May 11, 2028 as the certificate expiration date; the certificate took effect May 12, 2026.