28D1046206 CLIA NUMBER - SOUTHVIEW HEIGHTS, INC

Laboratory Demographics

  • CLIA Code: 28D1046206
  • Facility Name: SOUTHVIEW HEIGHTS, INC
  • Facility Address: 5110 SOUTH 49TH STREET
    OMAHA, NE
    ZIP 68117
  • Facility Phone: 402 731-2118
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PAUL J. RANDAZZO
  • NPI Number: 1568751063
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 28D1046206
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SOUTHVIEW HEIGHTS, INC
Street 5110 SOUTH 49TH STREET
City OMAHA
State NE
ZIP 68117
Phone 402 731-2118
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2025
Certificate Expiration Date 10/2/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director PAUL J. RANDAZZO

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