28D0453572 CLIA NUMBER - PAPILLION MANOR

Laboratory Demographics

  • CLIA Code: 28D0453572
  • Facility Name: PAPILLION MANOR
  • Facility Address: 610 S POLK ST
    PAPILLION, NE
    ZIP 68046
  • Facility Phone: 402 339-7700
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CONNIE KINCAID
  • NPI Number: 1932218765
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 28D0453572
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PAPILLION MANOR
Street 610 S POLK ST
City PAPILLION
State NE
ZIP 68046
Phone 402 339-7700
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 CONNIE KINCAID

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