28D1014721 CLIA NUMBER - ELITE PROFESSIONALS HOME CARE

Laboratory Demographics

  • CLIA Code: 28D1014721
  • Facility Name: ELITE PROFESSIONALS HOME CARE
  • Facility Address: 3901 FAULKNER DRIVE
    LINCOLN, NE
    ZIP 68516
  • Facility Phone: 402 464-2422
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MS. JENNIFER K. GIBBONS
  • NPI Number: 1063433290
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 28D1014721
LAB Type Home Health Agency
Facility Name ELITE PROFESSIONALS HOME CARE
Street 3901 FAULKNER DRIVE
City LINCOLN
State NE
ZIP 68516
Phone 402 464-2422
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type Home Health Agency
Lab Director MS. JENNIFER K. GIBBONS

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