28D1036950 CLIA NUMBER - 5410 17TH AVE NE OPCO, LLC DBA KINSHIP POINTE NORTHRIDGE

Laboratory Demographics

  • CLIA Code: 28D1036950
  • Facility Name: 5410 17TH AVE NE OPCO, LLC DBA KINSHIP POINTE NORTHRIDGE
  • Facility Address: 5410 17TH AVENUE
    KEARNEY, NE
    ZIP 68845
  • Facility Phone: 308 698-5410
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: WENDY L. GEORGINA
  • NPI Number: 1619784147
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 28D1036950
LAB Type Assisted Living Facility
Facility Name 5410 17TH AVE NE OPCO, LLC DBA KINSHIP POINTE NORTHRIDGE
Street 5410 17TH AVENUE
City KEARNEY
State NE
ZIP 68845
Phone 308 698-5410
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type Assisted Living Facility
Lab Director WENDY L. GEORGINA

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