CLIA lab

CLIA 28D2109346: Boys Town Pediatrics - Harrison Street Clinic

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

CLIA number 28D2109346 belongs to Boys Town Pediatrics - Harrison Street Clinic in Omaha, NE.

Certificate of Waiver, effective February 23, 2026, expires February 22, 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
February 23, 2026
Certificate expiration
February 22, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 23, 2016
Facility type
Physician office
Ownership (control type)
Private
Lab classification
CLIA laboratory
Directly affiliated labs
2

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
28D2109346
Lab name
Boys Town Pediatrics - Harrison Street Clinic
Address
6715 South 180th Street, Omaha, NE 68135
Phone
(531) 355-6051
Fax
(531) 355-6056

Annual test volume the lab reported

Waived tests
8,100

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Omaha, NE

Related

Questions

What is the CLIA number for Boys Town Pediatrics - Harrison Street Clinic in Omaha?

28D2109346, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Boys Town Pediatrics - Harrison Street Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 28D2109346 expire?

The CMS file lists February 22, 2028 as the certificate expiration date; the certificate took effect February 23, 2026.

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