CLIA lab
CLIA 28D2013335: Walgreens #04754
Lavista, NE. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 28D2013335 belongs to Walgreens #04754 in Lavista, NE.
Certificate of Waiver, effective May 17, 2025, expires May 16, 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
- May 17, 2025
- Certificate expiration
- May 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 17, 2010
- Facility type
- Pharmacy
- 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
- 28D2013335
- Lab name
- Walgreens #04754
- Address
- 8380 Harrison Street, Lavista, NE 68128
- Phone
- (402) 592-7990
- Fax
- (402) 592-7377
Annual test volume the lab reported
- Waived tests
- 12,775
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lavista, NE
- Chi Health Clinic LavistaCertificate for Provider-Performed Microscopy Procedures, Physician office28D2040586
- Children's Physicians - LavistaCertificate of Compliance, Physician office28D1056933
- Echo Hills Assisted Living and Memory CareCertificate of Waiver, Assisted living facility28D2235090
- Homestead of La VistaCertificate of Waiver, Assisted living facility28D1026438
- NM Brentwood VillageCertificate for Provider-Performed Microscopy Procedures, Physician office28D0916355
Related
Questions
What is the CLIA number for Walgreens #04754 in Lavista?
28D2013335, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens #04754 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 28D2013335 expire?
The CMS file lists May 16, 2027 as the certificate expiration date; the certificate took effect May 17, 2025.