28D0453428 CLIA NUMBER - GOOD SHEPHERD LUTHERAN

Laboratory Demographics

  • CLIA Code: 28D0453428
  • Facility Name: GOOD SHEPHERD LUTHERAN
  • Facility Address: 2242 WRIGHT
    BLAIR, NE
    ZIP 68008
  • Facility Phone: 402 426-4663
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. MARY J. POWELL
  • NPI Number: 1043226707
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 28D0453428
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GOOD SHEPHERD LUTHERAN
Street 2242 WRIGHT
City BLAIR
State NE
ZIP 68008
Phone 402 426-4663
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 MS. MARY J. POWELL

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