CLIA lab

CLIA 28D2154567: Prairie Creek Family Medicine - Shelby

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

CLIA number 28D2154567 belongs to Prairie Creek Family Medicine - Shelby in Shelby, NE.

Certificate of Waiver, effective September 14, 2026, expires September 13, 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
September 14, 2026
Certificate expiration
September 13, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 14, 2018
Facility type
Physician office
Ownership (control type)
Proprietary
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
28D2154567
Lab name
Prairie Creek Family Medicine - Shelby
Address
150 E Park Street, Shelby, NE 68662
Phone
(402) 764-2491
Fax
(402) 764-4033

Annual test volume the lab reported

Waived tests
300

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

Affiliated CLIA numbers

Other labs in Shelby, NE

Related

Questions

What is the CLIA number for Prairie Creek Family Medicine - Shelby in Shelby?

28D2154567, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Prairie Creek Family Medicine - Shelby hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 28D2154567 expire?

The CMS file lists September 13, 2028 as the certificate expiration date; the certificate took effect September 14, 2026.

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