CLIA lab
CLIA 28D2191173: Jefferson Community Health & Life - Gardenside LTC
Fairbury, NE. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 28D2191173 belongs to Jefferson Community Health & Life - Gardenside LTC in Fairbury, NE.
Certificate of Waiver, effective August 24, 2026, expires August 23, 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
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
- August 24, 2026
- Certificate expiration
- August 23, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 24, 2020
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Private
- 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
- 28D2191173
- Lab name
- Jefferson Community Health & Life - Gardenside LTC
- Address
- 2200 H Street, Fairbury, NE 68352
- Phone
- (402) 729-5220
- Fax
- (402) 729-3391
Annual test volume the lab reported
- Waived tests
- 7,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Fairbury, NE
- Blue Valley Community Action IncCertificate of Waiver, Other28D0670533
- Cedarwood Assisted LivingCertificate of Waiver, Other28D1020254
- Heritage Care CenterCertificate of Waiver, Skilled nursing or nursing facility28D0454736
- Jefferson Community Health & Life - FairburyCertificate of Waiver, Community clinic28D0454733
- Jefferson Community Health Center IncCertificate of Compliance, Hospital28D0047585
- Jefferson County Ambulance District #33Certificate of Waiver, Ambulance28D1005390
- Jefferson County Sheriff's OfficeCertificate of Waiver, Prison28D2150484
- Walmart Pharmacy 10-0418Certificate of Waiver, Pharmacy28D2129321
Related
Questions
What is the CLIA number for Jefferson Community Health & Life - Gardenside LTC in Fairbury?
28D2191173, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jefferson Community Health & Life - Gardenside LTC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 28D2191173 expire?
The CMS file lists August 23, 2028 as the certificate expiration date; the certificate took effect August 24, 2026.