28D0994776 CLIA NUMBER - OMAHA 1 BICKFORD COTTAGE ASSISTED LIVING FACILITY

Laboratory Demographics

CLIA Number: 28D0994776

Facility Name: OMAHA 1 BICKFORD COTTAGE ASSISTED LIVING FACILITY

Facility Address:
11308 BLONDO STREET
OMAHA, NE
ZIP 68164
Get Directions

Facility Phone Number: 402 491-0400

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1821372046

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	28D0994776
LAB Type	Other
Facility Name	OMAHA 1 BICKFORD COTTAGE ASSISTED LIVING FACILITY
Street	11308 BLONDO STREET
City	OMAHA
State	NE
ZIP	68164
Phone	402 491-0400
CertificateType	4
CertificateEffectiveDate	12/31/2023
CertificateExpirationDate	12/30/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024