28D0455276 CLIA NUMBER - CHI HEALTH AT HOME - HOME CARE AND HOSPICE

Laboratory Demographics

CLIA Number: 28D0455276

Facility Name: CHI HEALTH AT HOME - HOME CARE AND HOSPICE

Facility Address:
245 SOUTH 84TH STREET, SUITE 300
LINCOLN, NE
ZIP 68510
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Facility Phone Number: 402 219-7043

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1235475351

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	28D0455276
LAB Type	Home Health Agency
Facility Name	CHI HEALTH AT HOME - HOME CARE AND HOSPICE
Street	245 SOUTH 84TH STREET, SUITE 300
City	LINCOLN
State	NE
ZIP	68510
Phone	402 219-7043
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024