28D0964256 CLIA NUMBER - HICKORY VILLA

Laboratory Demographics

  • CLIA Code: 28D0964256
  • Facility Name: HICKORY VILLA
  • Facility Address: 7315 HICKORY STREET
    OMAHA, NE
    ZIP 68124
  • Facility Phone: 402 392-0767
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: SHERRI HINKEL
  • NPI Number: 1083754881
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 28D0964256
LAB Type Other
Facility Name HICKORY VILLA
Street 7315 HICKORY STREET
City OMAHA
State NE
ZIP 68124
Phone 402 392-0767
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2025
Certificate Expiration Date 8/19/2027
Facility Type Other
Lab Director SHERRI HINKEL

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