28D0692365 CLIA NUMBER - GATEWAY VISTA

Laboratory Demographics

  • CLIA Code: 28D0692365
  • Facility Name: GATEWAY VISTA
  • Facility Address: 225 NORTH 56TH STREET
    LINCOLN, NE
    ZIP 68504
  • Facility Phone: (402) 464-6371
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TABITHA L. KLINGENBERG
  • NPI Number: 1336184092
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 28D0692365
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GATEWAY VISTA
Street 225 NORTH 56TH STREET
City LINCOLN
State NE
ZIP 68504
Phone 4024646371
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 TABITHA L. KLINGENBERG

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This page was last updated on: 5/18/2026