CLIA lab
CLIA 28D2100612: Hillcrest Grand Lodge, LLC DBA
Papillion, NE. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 28D2100612 belongs to Hillcrest Grand Lodge, LLC DBA in Papillion, NE.
Certificate of Waiver, effective August 18, 2025, expires August 17, 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
- August 18, 2025
- Certificate expiration
- August 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 18, 2015
- Facility type
- Assisted living facility
- 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
- 28D2100612
- Lab name
- Hillcrest Grand Lodge, LLC DBA
- Additional name
- Hillcrest Grand Lodge
- Address
- 6021 Grand Lodge Avenue, Papillion, NE 68133
- Phone
- (402) 682-4800
- Fax
- (402) 682-4253
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Papillion, NE
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- Ambi's Home Healthcare, LLCCertificate of Waiver, Home health agency28D1102819
- Chi Health Ambulatory Surgery Center at MidlandsCertificate of Waiver, Physician office28D2115123
- Chi Health Clinic Heart Institute MidlandsCertificate of Waiver, Physician office28D1000178
- Chi Health Clinic Internal Medicine-Midlands 1820Certificate for Provider-Performed Microscopy Procedures, Physician office28D0679855
- Chi Health Clinic MidlandsCertificate for Provider-Performed Microscopy Procedures, Physician office28D0453559
- Chi Health Clinic Women's-MidlandsCertificate for Provider-Performed Microscopy Procedures, Physician office28D1098089
- Chi Health Midlands LaboratoryCertificate of Accreditation, Hospital28D0453563
- Envisions, IncCertificate of Waiver, Other28D1027778
- Hce-Cottages LLC DBACertificate of Waiver, Skilled nursing or nursing facility28D1086407
Related
Questions
What is the CLIA number for Hillcrest Grand Lodge, LLC DBA in Papillion?
28D2100612, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hillcrest Grand Lodge, LLC DBA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 28D2100612 expire?
The CMS file lists August 17, 2027 as the certificate expiration date; the certificate took effect August 18, 2025.