28D0923629 CLIA NUMBER - ARBOR CARE CENTERS - COUNTRYSIDE LLC

Laboratory Demographics

  • CLIA Code: 28D0923629
  • Facility Name: ARBOR CARE CENTERS - COUNTRYSIDE LLC
  • Facility Address: 703 NORTH MAIN STREET
    MADISON, NE
    ZIP 68748
  • Facility Phone: 402 454-3373
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SAM J. REIGLE
  • NPI Number: 1811501596
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 28D0923629
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ARBOR CARE CENTERS - COUNTRYSIDE LLC
Street 703 NORTH MAIN STREET
City MADISON
State NE
ZIP 68748
Phone 402 454-3373
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2025
Certificate Expiration Date 1/6/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SAM J. REIGLE

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