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

Laboratory Demographics

  • CLIA Code: 28D0994776
  • Facility Name: OMAHA 1 BICKFORD COTTAGE ASSISTED LIVING FACILITY
  • Facility Address: 11308 BLONDO STREET
    OMAHA, NE
    ZIP 68164
  • Facility Phone: 402 491-0400
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: KATHLEEN HARMON
  • NPI Number: 1821372046
  • Taxonomy: 310400000X - Assisted Living Facility

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2023
Certificate Expiration Date 12/30/2025
Facility Type Other
Lab Director KATHLEEN HARMON

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