28D0454885 CLIA NUMBER - MULBERRY AT WAVERLY, THE

Laboratory Demographics

  • CLIA Code: 28D0454885
  • Facility Name: MULBERRY AT WAVERLY, THE
  • Facility Address: 11041 N 137TH STREET
    WAVERLY, NE
    ZIP 68462
  • Facility Phone: 402 786-2626
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LINDSEY M. PIHLGREN
  • NPI Number: 1124709852
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 28D0454885
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MULBERRY AT WAVERLY, THE
Street 11041 N 137TH STREET
City WAVERLY
State NE
ZIP 68462
Phone 402 786-2626
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 LINDSEY M. PIHLGREN

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