CLIA lab

CLIA 28D2132142: South Side Convenient Care

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

CLIA number 28D2132142 belongs to South Side Convenient Care in Bellevue, NE.

Certificate of Waiver, effective June 13, 2025, expires June 12, 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
June 13, 2025
Certificate expiration
June 12, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 13, 2017
Facility type
Physician office
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
28D2132142
Lab name
South Side Convenient Care
Address
4115 Harrison Street, Bellevue, NE 68147
Phone
(402) 932-0692
Fax
(402) 614-6731

Annual test volume the lab reported

Waived tests
640

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 South Side Convenient Care in Bellevue?

28D2132142, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does South Side Convenient Care hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 28D2132142 expire?

The CMS file lists June 12, 2027 as the certificate expiration date; the certificate took effect June 13, 2025.

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