CLIA lab

CLIA 28D2016544: Mosaic - Faidley

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

CLIA number 28D2016544 belongs to Mosaic - Faidley in Grand Island, NE.

Certificate of Waiver, effective November 19, 2024, expires November 18, 2026.

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
November 19, 2024
Certificate expiration
November 18, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 19, 2010
Facility type
Intermediate care facility for individuals with intellectual disabilities
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
28D2016544
Lab name
Mosaic - Faidley
Address
Mosaic-Icf/id, 2915 W Faidley, Grand Island, NE 68803
Phone
(308) 381-0137
Fax
(308) 381-6620

Annual test volume the lab reported

Waived tests
50

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 Mosaic - Faidley in Grand Island?

28D2016544, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mosaic - Faidley hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 28D2016544 expire?

The CMS file lists November 18, 2026 as the certificate expiration date; the certificate took effect November 19, 2024.

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