Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
28D2192117
|
|
Clinical laboratory number
|
|
Lab Name
|
LEGACY SQUARE
|
|
Laboratory Name
|
|
Lab Type
|
Skilled Nursing Facility/Nursing Facility
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
402-723-4512
|
|
Laboratory telephone number
|
|
Fax
|
402-723-4493
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
1621 FRONT STREET
|
|
Primary location adress line
|
|
City
|
HENDERSON
|
|
Primary location city name
|
|
State
|
NE
|
|
Primary location state name
|
|
Zip
|
68371
|
|
Primary location postal code
|