28D0706415 CLIA NUMBER - VCHS HOME HEALTH AND VCHS HOSPICE

Laboratory Demographics

  • CLIA Code: 28D0706415
  • Facility Name: VCHS HOME HEALTH AND VCHS HOSPICE
  • Facility Address: 400 SOUTH 23RD STREET
    ORD, NE
    ZIP 68862
  • Facility Phone: 308 728-4355
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JENNIFER L. BENGSTON MD
  • NPI Number: 1881647915
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 28D0706415
LAB Type Home Health Agency
Facility Name VCHS HOME HEALTH AND VCHS HOSPICE
Street 400 SOUTH 23RD STREET
City ORD
State NE
ZIP 68862
Phone 308 728-4355
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 Home Health Agency
Lab Director JENNIFER L. BENGSTON MD

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