CLIA lab
CLIA 28D2017765: Mosaic Omaha Millard Icf/Mr
Omaha, NE. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 28D2017765 belongs to Mosaic Omaha Millard Icf/Mr in Omaha, NE.
Certificate of Waiver, effective December 17, 2024, expires December 16, 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
- December 17, 2024
- Certificate expiration
- December 16, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 17, 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
- 28D2017765
- Lab name
- Mosaic Omaha Millard Icf/Mr
- Address
- 5806 South 147th Street, Omaha, NE 68137
- Phone
- (402) 896-9988
- Fax
- (402) 614-5372
Annual test volume the lab reported
- Waived tests
- 160
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 Omaha Millard Icf/Mr in Omaha?
28D2017765, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mosaic Omaha Millard Icf/Mr hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 28D2017765 expire?
The CMS file lists December 16, 2026 as the certificate expiration date; the certificate took effect December 17, 2024.