28D0977716 CLIA NUMBER - BROOKE STONE

Laboratory Demographics

  • CLIA Code: 28D0977716
  • Facility Name: BROOKE STONE
  • Facility Address: 4330 S 144TH STREET
    OMAHA, NE
    ZIP 68137
  • Facility Phone: 402 614-4000
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. TAMMY DEEMER
  • NPI Number: 1366972994
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 28D0977716
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BROOKE STONE
Street 4330 S 144TH STREET
City OMAHA
State NE
ZIP 68137
Phone 402 614-4000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2024
Certificate Expiration Date 9/4/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MS. TAMMY DEEMER

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