CLIA lab
CLIA 28D1106302: Good Samaritan - Grand Island Village
Grand Island, NE. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 28D1106302 belongs to Good Samaritan - Grand Island Village in Grand Island, NE.
Certificate of Waiver, effective October 9, 2025, expires October 8, 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
- October 9, 2025
- Certificate expiration
- October 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 9, 2009
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Religious affiliation
- 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
- 28D1106302
- Lab name
- Good Samaritan - Grand Island Village
- Address
- 4075 Timberline Street, Grand Island, NE 68803
- Phone
- (308) 384-3535
- Fax
- (308) 675-0980
Annual test volume the lab reported
- Waived tests
- 1,875
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 Good Samaritan - Grand Island Village in Grand Island?
28D1106302, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Good Samaritan - Grand Island Village hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 28D1106302 expire?
The CMS file lists October 8, 2027 as the certificate expiration date; the certificate took effect October 9, 2025.