28D0687144 CLIA NUMBER - TABITHA HEALTH CARE SERVICES

Laboratory Demographics

  • CLIA Code: 28D0687144
  • Facility Name: TABITHA HEALTH CARE SERVICES
  • Facility Address: 4720 RANDOLPH STREET
    LINCOLN, NE
    ZIP 68510
  • Facility Phone: 402 486-8537
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. ANGELIA K. CARDWELL
  • NPI Number: 1679630792
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 28D0687144
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name TABITHA HEALTH CARE SERVICES
Street 4720 RANDOLPH STREET
City LINCOLN
State NE
ZIP 68510
Phone 402 486-8537
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. ANGELIA K. CARDWELL

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