28D1029726 CLIA NUMBER - IMMANUEL COURTYARD ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 28D1029726
  • Facility Name: IMMANUEL COURTYARD ASSISTED LIVING
  • Facility Address: 6759 NEWPORT AVE #100
    OMAHA, NE
    ZIP 68152
  • Facility Phone: 402 829-2990
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MARY HANGMAN
  • NPI Number: 1336446350
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 28D1029726
LAB Type Other
Facility Name IMMANUEL COURTYARD ASSISTED LIVING
Street 6759 NEWPORT AVE #100
City OMAHA
State NE
ZIP 68152
Phone 402 829-2990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2024
Certificate Expiration Date 8/22/2026
Facility Type Other
Lab Director MARY HANGMAN

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