CLIA lab
CLIA 28D2016795: Park Street Medical Clinic
Genoa, NE. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 28D2016795 belongs to Park Street Medical Clinic in Genoa, NE.
Certificate of Waiver, effective November 24, 2024, expires November 23, 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 24, 2024
- Certificate expiration
- November 23, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 24, 2010
- Facility type
- Rural health clinic
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 28D2016795
- Lab name
- Park Street Medical Clinic
- Address
- 505 South Park Street, Genoa, NE 68640
- Phone
- (402) 993-2206
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Genoa, NE
Related
Questions
What is the CLIA number for Park Street Medical Clinic in Genoa?
28D2016795, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Park Street Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 28D2016795 expire?
The CMS file lists November 23, 2026 as the certificate expiration date; the certificate took effect November 24, 2024.