28D0456492 CLIA NUMBER - CHIMNEY ROCK VILLA

Laboratory Demographics

  • CLIA Code: 28D0456492
  • Facility Name: CHIMNEY ROCK VILLA
  • Facility Address: 106 E 13TH STREET
    BAYARD, NE
    ZIP 69334
  • Facility Phone: 308 586-1142
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. BRANDEN J. MITCHELL
  • NPI Number: 1740220268
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 28D0456492
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CHIMNEY ROCK VILLA
Street 106 E 13TH STREET
City BAYARD
State NE
ZIP 69334
Phone 308 586-1142
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. BRANDEN J. MITCHELL

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