CLIA lab
CLIA 28D2074172: Gothenburg Rural Health Clinic
Gothenburg, NE. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 28D2074172 belongs to Gothenburg Rural Health Clinic in Gothenburg, NE.
Certificate of Waiver, effective April 3, 2026, expires April 2, 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
- April 3, 2026
- Certificate expiration
- April 2, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 3, 2014
- Facility type
- Rural health clinic
- Ownership (control type)
- Government, other
- 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
- 28D2074172
- Lab name
- Gothenburg Rural Health Clinic
- Address
- 918 20th Street, Gothenburg, NE 69138
- Phone
- (308) 537-4066
- Fax
- (308) 537-5589
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Gothenburg, NE
- Gothenburg Memorial HospitalCertificate of Compliance, Hospital28D0456369
- Gothenburg Volunteer Fire DeptCertificate of Waiver, Ambulance28D1041315
- Hilltop EstatesCertificate of Waiver, Skilled nursing or nursing facility28D0898544
- Remedy, LLC, theCertificate of Waiver, Other practitioner28D2146863
- Stone Hearth EstatesCertificate of Waiver, Other28D1065158
Related
Questions
What is the CLIA number for Gothenburg Rural Health Clinic in Gothenburg?
28D2074172, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Gothenburg Rural Health Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 28D2074172 expire?
The CMS file lists April 2, 2028 as the certificate expiration date; the certificate took effect April 3, 2026.