CLIA lab
CLIA 28D2175497: Methodist Physicians Clinic - West Shores
Waterloo, NE. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 28D2175497 belongs to Methodist Physicians Clinic - West Shores in Waterloo, NE.
Certificate of Waiver, effective November 21, 2025, expires November 20, 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
- November 21, 2025
- Certificate expiration
- November 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 21, 2019
- Facility type
- Physician office
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 6
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 28D2175497
- Lab name
- Methodist Physicians Clinic - West Shores
- Address
- 24110 W Dodge Rd, Waterloo, NE 68069
- Phone
- (402) 815-1883
- Fax
- (402) 815-1035
Annual test volume the lab reported
- Waived tests
- 2,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Waterloo, NE
Related
Questions
What is the CLIA number for Methodist Physicians Clinic - West Shores in Waterloo?
28D2175497, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Methodist Physicians Clinic - West Shores hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 28D2175497 expire?
The CMS file lists November 20, 2027 as the certificate expiration date; the certificate took effect November 21, 2025.