28D1038215 CLIA NUMBER - NORTHSTAR SERVICES

Laboratory Demographics

CLIA Code: 28D1038215
Facility Name: NORTHSTAR SERVICES
Facility Address: 1202 E 14TH STREET
WAYNE, NE
ZIP 68787
Facility Phone: (402) 375-2880
Facility Type: Other
Facility Type: Waiver
Lab Director: DONNA K. NICKEL
NPI Number: 1801555362
Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	28D1038215
LAB Type	Other
Facility Name	NORTHSTAR SERVICES
Street	1202 E 14TH STREET
City	WAYNE
State	NE
ZIP	68787
Phone	4023752880
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	3/14/2025
Certificate Expiration Date	3/13/2027
Facility Type	Other
Lab Director	DONNA K. NICKEL

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This page was last updated on: 5/18/2026