28D0453427 CLIA NUMBER - CROWELL MEMORIAL HOME

Laboratory Demographics

  • CLIA Code: 28D0453427
  • Facility Name: CROWELL MEMORIAL HOME
  • Facility Address: 245 22ND ST
    BLAIR, NE
    ZIP 68008
  • Facility Phone: 402 426-2177
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PRUDENCE CEMER RN
  • NPI Number: 1376693010
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 28D0453427
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CROWELL MEMORIAL HOME
Street 245 22ND ST
City BLAIR
State NE
ZIP 68008
Phone 402 426-2177
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director PRUDENCE CEMER RN

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This page was last updated on: 9/29/2025