CLIA lab
CLIA 28D2194231: Prairie Breeze Assisted Living
Pender, NE. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 28D2194231 belongs to Prairie Breeze Assisted Living in Pender, NE.
Certificate of Waiver, effective September 29, 2026, expires September 28, 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 29, 2026
- Certificate expiration
- September 28, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 29, 2020
- Facility type
- Assisted living facility
- Ownership (control type)
- Government, other
- 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
- 28D2194231
- Lab name
- Prairie Breeze Assisted Living
- Address
- One Mazour Drive, Pender, NE 68047
- Phone
- (402) 385-1999
- Fax
- (402) 385-0113
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Pender, NE
- Northeast Nebraska Community Action PartnershipCertificate of Waiver, Other28D0712824
- PCH Medical Clinic - PenderCertificate of Compliance, Physician office28D0453581
- PCH Pharmacy - PenderCertificate of Waiver, Pharmacy28D2181998
- Pender Community HealthCertificate of Compliance, Hospital28D0652581
- Pender Fire/RescueCertificate of Waiver, Ambulance28D2295807
Related
Questions
What is the CLIA number for Prairie Breeze Assisted Living in Pender?
28D2194231, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Prairie Breeze Assisted Living hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 28D2194231 expire?
The CMS file lists September 28, 2028 as the certificate expiration date; the certificate took effect September 29, 2026.