CLIA lab
CLIA 28D2003584: GSS Superior Victorian Legacy
Superior, NE. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 28D2003584 belongs to GSS Superior Victorian Legacy in Superior, NE.
Certificate of Waiver, effective February 12, 2026, expires February 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
- February 12, 2026
- Certificate expiration
- February 11, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 12, 2010
- Facility type
- Assisted living 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
- 28D2003584
- Lab name
- GSS Superior Victorian Legacy
- Address
- 1160 Sunrise St, Superior, NE 68978
- Phone
- (402) 879-3099
Annual test volume the lab reported
- Waived tests
- 1,095
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Superior, NE
- Brodstone Family Medical Center - SuperiorCertificate of Waiver, Rural health clinic28D1027384
- Brodstone Memorial HospitalCertificate of Accreditation, Hospital28D0679416
- Good Samaritan - SuperiorCertificate of Waiver, Skilled nursing or nursing facility28D0667942
- Kingswood Court Assisted LivingCertificate of Waiver, Assisted living facility28D2190599
- Superior Volunteer Rescue SquadCertificate of Waiver, Ambulance28D0992693
Related
Questions
What is the CLIA number for GSS Superior Victorian Legacy in Superior?
28D2003584, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does GSS Superior Victorian Legacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 28D2003584 expire?
The CMS file lists February 11, 2028 as the certificate expiration date; the certificate took effect February 12, 2026.