28D0454696 CLIA NUMBER - MOSAIC BEATRICE

Laboratory Demographics

  • CLIA Code: 28D0454696
  • Facility Name: MOSAIC BEATRICE
  • Facility Address: 722 SOUTH 12TH ST
    BEATRICE, NE
    ZIP 68310
  • Facility Phone: 402 223-4066
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: ADDISON S. HUSS
  • NPI Number: 1386867901
  • Taxonomy: 310500000X - Intermediate Care Facility, Mental Illness

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CLIA Record

Field Name Field Value
CLIA Number 28D0454696
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name MOSAIC BEATRICE
Street 722 SOUTH 12TH ST
City BEATRICE
State NE
ZIP 68310
Phone 402 223-4066
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 Intermediate Care Facility for Mentally Retarded
Lab Director ADDISON S. HUSS

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