28D0455957 CLIA NUMBER - MOTHER HULL HOME

Laboratory Demographics

  • CLIA Code: 28D0455957
  • Facility Name: MOTHER HULL HOME
  • Facility Address: 125 E 23RD
    KEARNEY, NE
    ZIP 68847
  • Facility Phone: 308 234-2447
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. KRISTINA ROBERTS
  • NPI Number: 1043291453
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 28D0455957
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MOTHER HULL HOME
Street 125 E 23RD
City KEARNEY
State NE
ZIP 68847
Phone 308 234-2447
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 MS. KRISTINA ROBERTS

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