28D0669922 CLIA NUMBER - NORFOLK VETERANS HOME

Laboratory Demographics

  • CLIA Code: 28D0669922
  • Facility Name: NORFOLK VETERANS HOME
  • Facility Address: 600 EAST BENJAMIN AVE
    NORFOLK, NE
    ZIP 68701
  • Facility Phone: 402 370-3177
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JERRY EISENHAUER
  • NPI Number: 1801096094
  • Taxonomy: 332100000X - Department of Veterans Affairs (VA) Pharmacy

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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
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 JERRY EISENHAUER

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