28D0720111 CLIA NUMBER - WESTGATE ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 28D0720111
  • Facility Name: WESTGATE ASSISTED LIVING
  • Facility Address: 3030 S 80TH ST
    OMAHA, NE
    ZIP 68124
  • Facility Phone: 402 391-8566
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: TRACEY L. GABEHART
  • NPI Number: 1013963412
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 28D0720111
LAB Type Other
Facility Name WESTGATE ASSISTED LIVING
Street 3030 S 80TH ST
City OMAHA
State NE
ZIP 68124
Phone 402 391-8566
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 Other
Lab Director TRACEY L. GABEHART

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