CLIA lab

CLIA 28D1103976: Potter Volunteer Fire & Rescue

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

CLIA number 28D1103976 belongs to Potter Volunteer Fire & Rescue in Potter, NE.

Certificate of Waiver, effective August 21, 2025, expires August 20, 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
August 21, 2025
Certificate expiration
August 20, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 21, 2009
Facility type
Ambulance
Ownership (control type)
Government, 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
28D1103976
Lab name
Potter Volunteer Fire & Rescue
Address
900 Front Street, Potter, NE 69156
Phone
(308) 879-4550

Annual test volume the lab reported

Waived tests
120

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

Related

Questions

What is the CLIA number for Potter Volunteer Fire & Rescue in Potter?

28D1103976, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Potter Volunteer Fire & Rescue hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 28D1103976 expire?

The CMS file lists August 20, 2027 as the certificate expiration date; the certificate took effect August 21, 2025.

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