CLIA lab

CLIA 28D2190599: Kingswood Court Assisted Living

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

CLIA number 28D2190599 belongs to Kingswood Court Assisted Living in Superior, NE.

Certificate of Waiver, effective August 17, 2026, expires August 16, 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
August 17, 2026
Certificate expiration
August 16, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 17, 2020
Facility type
Assisted living facility
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
28D2190599
Lab name
Kingswood Court Assisted Living
Address
1005 Idaho St, Superior, NE 68978
Phone
(402) 207-1050
Fax
(402) 207-1052

Annual test volume the lab reported

Waived tests
156

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 Kingswood Court Assisted Living in Superior?

28D2190599, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kingswood Court Assisted Living hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 28D2190599 expire?

The CMS file lists August 16, 2028 as the certificate expiration date; the certificate took effect August 17, 2026.

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