28D1030699 CLIA NUMBER - IMMANUEL TRINITY VILLAGE

Laboratory Demographics

  • CLIA Code: 28D1030699
  • Facility Name: IMMANUEL TRINITY VILLAGE
  • Facility Address: 522 W LINCOLN
    PAPILLION, NE
    ZIP 68046
  • Facility Phone: 402 614-5500
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MS. KAREN HOSCHAR
  • NPI Number: 1528340528
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 28D1030699
LAB Type Other
Facility Name IMMANUEL TRINITY VILLAGE
Street 522 W LINCOLN
City PAPILLION
State NE
ZIP 68046
Phone 402 614-5500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Other
Lab Director MS. KAREN HOSCHAR

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