28D0892418 CLIA NUMBER - MILDER MANOR NURSING HOME

Laboratory Demographics

  • CLIA Code: 28D0892418
  • Facility Name: MILDER MANOR NURSING HOME
  • Facility Address: 1750 SOUTH 20TH STREET
    LINCOLN, NE
    ZIP 68502
  • Facility Phone: 402 475-6791
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KENNETH CHELOHA
  • NPI Number: 1902914518
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 28D0892418
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MILDER MANOR NURSING HOME
Street 1750 SOUTH 20TH STREET
City LINCOLN
State NE
ZIP 68502
Phone 402 475-6791
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KENNETH CHELOHA

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