28D0454720 CLIA NUMBER - PARKVIEW HAVEN

Laboratory Demographics

  • CLIA Code: 28D0454720
  • Facility Name: PARKVIEW HAVEN
  • Facility Address: 1203 4TH
    DESHLER, NE
    ZIP 68340
  • Facility Phone: 402 365-7237
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MIRANDA ISERNHAGEN
  • NPI Number: 1437155173
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 28D0454720
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PARKVIEW HAVEN
Street 1203 4TH
City DESHLER
State NE
ZIP 68340
Phone 402 365-7237
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 MIRANDA ISERNHAGEN

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