28D0669922 CLIA NUMBER - NORFOLK VETERANS HOME

Laboratory Demographics

CLIA Number: 28D0669922

Facility Name: NORFOLK VETERANS HOME

Facility Address:
600 EAST BENJAMIN AVE
NORFOLK, NE
ZIP 68701
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Facility Phone Number: 402 370-3177

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1801096094

Taxonomy: 332100000X - Department of Veterans Affairs (VA) Pharmacy
Department of Veterans Affairs (VA) Pharmacy means any place under VA jurisdiction where drugs are dispensed and Pharmaceutical Care is provided to enrolled Veterans, by licensed pharmacists. The Pharmacy is reviewed by JCAHO, utilizes the VA hospital's DEA number, and has a designated NCPDP number. VA facility pharmacies include Inpatient (Institutional), Outpatient, Consolidated Mail Outpatient Pharmacies (CMOPs), Research, Addiction Treatment Centers, Long Term Care and Community Based Outpatient Clinics Pharmacies. The VHA Pharmacy Benefits Management - Strategic Healthcare Group has oversight for professional and practice activities of VA Pharmacies. Each pharmacy is under the direct supervision of a U.S. or U.S. territory licensed pharmacist, and has staffing to meet its designated scope of service.

CLIA Record

Field Name	Field Value
CLIA Number	28D0669922
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	NORFOLK VETERANS HOME
Street	600 EAST BENJAMIN AVE
City	NORFOLK
State	NE
ZIP	68701
Phone	402 370-3177
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