CLIA lab
CLIA 28D2167505: Riverview Surgical Center LLC
South Sioux City, NE. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 28D2167505 belongs to Riverview Surgical Center LLC in South Sioux City, NE.
Certificate of Waiver, effective June 10, 2025, expires June 9, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- June 10, 2025
- Certificate expiration
- June 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 10, 2019
- Facility type
- Ambulatory surgery center
- 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
- 28D2167505
- Lab name
- Riverview Surgical Center LLC
- Address
- 201 E 4th Street, South Sioux City, NE 68776
- Phone
- (402) 412-2160
- Fax
- (402) 412-2094
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in South Sioux City, NE
- Adept Nursing & Rehab of South Sioux CityCertificate of Waiver, Skilled nursing or nursing facility28D0903283
- Adept Nursing & Rehab of South Sioux City AssistedCertificate of Waiver, Skilled nursing or nursing facility28D2225565
- Cnos, PCCertificate for Provider-Performed Microscopy Procedures, Physician office16D2210351
- Continental Springs Nursing Rehabilitation SeniorCertificate of Waiver, Assisted living facility28D0652649
- Family Healthcare of Siouxland-South Sioux CityCertificate of Compliance, Physician office28D0455670
- Hy-Vee Pharmacy (1620)Certificate of Waiver, Pharmacy28D1007551
- ST Croix HospiceCertificate of Waiver, Hospice28D2028270
- Siouxland Community Health CenterCertificate of Waiver, Federally qualified health center16D2067942
- Siouxland Mental Health Center Nebraska ClinicCertificate of Waiver, Community clinic28D2314519
- South Sioux City Fire DepartmentCertificate of Waiver, Ambulance28D0999760
Related
Questions
What is the CLIA number for Riverview Surgical Center LLC in South Sioux City?
28D2167505, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Riverview Surgical Center LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 28D2167505 expire?
The CMS file lists June 9, 2027 as the certificate expiration date; the certificate took effect June 10, 2025.