CLIA lab

CLIA 28D2158658: Keystone RX Corporation Inc DBA

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

CLIA number 28D2158658 belongs to Keystone RX Corporation Inc DBA in Alliance, NE.

Certificate of Waiver, effective December 4, 2024, expires December 3, 2026.

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
December 4, 2024
Certificate expiration
December 3, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 4, 2018
Facility type
Pharmacy
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

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

Lab and contact

CLIA number
28D2158658
Lab name
Keystone RX Corporation Inc DBA
Additional name
Dave's Pharmacy
Address
223 Box Butte Avenue, Alliance, NE 69301
Phone
(308) 762-4811
Fax
(308) 762-1693

Annual test volume the lab reported

Waived tests
60

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

Affiliated CLIA numbers

Other labs in Alliance, NE

Related

Questions

What is the CLIA number for Keystone RX Corporation Inc DBA in Alliance?

28D2158658, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Keystone RX Corporation Inc DBA hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 28D2158658 expire?

The CMS file lists December 3, 2026 as the certificate expiration date; the certificate took effect December 4, 2024.

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