28D0454876 CLIA NUMBER - JOHNSON COUNTY HOSPITAL HOME HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 28D0454876
  • Facility Name: JOHNSON COUNTY HOSPITAL HOME HEALTH SERVICES
  • Facility Address: 202 HIGH STREET
    TECUMSEH, NE
    ZIP 68450
  • Facility Phone: (402) 335-3361
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DR. GRANT SALTZGABER
  • NPI Number: 1003027442
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D0454876
LAB Type Home Health Agency
Facility Name JOHNSON COUNTY HOSPITAL HOME HEALTH SERVICES
Street 202 HIGH STREET
City TECUMSEH
State NE
ZIP 68450
Phone 4023353361
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2025
Certificate Expiration Date 5/19/2027
Facility Type Home Health Agency
Lab Director DR. GRANT SALTZGABER

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This page was last updated on: 6/29/2026