CLIA lab
CLIA 28D2192117: Legacy Square
Henderson, NE. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 28D2192117 belongs to Legacy Square in Henderson, NE.
Certificate of Waiver, effective September 4, 2026, expires September 3, 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
- September 4, 2026
- Certificate expiration
- September 3, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 4, 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
- 28D2192117
- Lab name
- Legacy Square
- Address
- 1621 Front Street, Henderson, NE 68371
- Phone
- (402) 723-4512
- Fax
- (402) 723-4493
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Legacy SquareCMS Care Compare ratings for the facility at the same street address
Other labs in Henderson, NE
Related
Questions
What is the CLIA number for Legacy Square in Henderson?
28D2192117, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Legacy Square hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 28D2192117 expire?
The CMS file lists September 3, 2028 as the certificate expiration date; the certificate took effect September 4, 2026.