28D1020254 CLIA NUMBER - CEDARWOOD ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 28D1020254
  • Facility Name: CEDARWOOD ASSISTED LIVING
  • Facility Address: 828 22ND STREET
    FAIRBURY, NE
    ZIP 68352
  • Facility Phone: 402 729-6100
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DEBRA L. SUTTON
  • NPI Number: 1134412992
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 28D1020254
LAB Type Other
Facility Name CEDARWOOD ASSISTED LIVING
Street 828 22ND STREET
City FAIRBURY
State NE
ZIP 68352
Phone 402 729-6100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2023
Certificate Expiration Date 12/15/2025
Facility Type Other
Lab Director DEBRA L. SUTTON

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