28D0652669 CLIA NUMBER - VILLA

Laboratory Demographics

  • CLIA Code: 28D0652669
  • Facility Name: VILLA
  • Facility Address: 926 EAST E STREET
    HASTINGS, NE
    ZIP 68901
  • Facility Phone: 402 463-3181
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DR. NITZEL E. GRANT
  • NPI Number: 1124186242
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D0652669
LAB Type Assisted Living Facility
Facility Name VILLA
Street 926 EAST E STREET
City HASTINGS
State NE
ZIP 68901
Phone 402 463-3181
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 Assisted Living Facility
Lab Director DR. NITZEL E. GRANT

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