28D0456440 CLIA NUMBER - BIRCH AT SUTHERLAND, THE

Laboratory Demographics

  • CLIA Code: 28D0456440
  • Facility Name: BIRCH AT SUTHERLAND, THE
  • Facility Address: 333 N MAPLE
    SUTHERLAND, NE
    ZIP 69165
  • Facility Phone: 308 386-4393
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JEAN KARUMBI
  • NPI Number: 1689355315
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 28D0456440
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BIRCH AT SUTHERLAND, THE
Street 333 N MAPLE
City SUTHERLAND
State NE
ZIP 69165
Phone 308 386-4393
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 JEAN KARUMBI

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This page was last updated on: 6/4/2025