28D1081015 CLIA NUMBER - PRAIRIE WINDS ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 28D1081015
  • Facility Name: PRAIRIE WINDS ASSISTED LIVING
  • Facility Address: 603 W 6TH STREET
    DONIPHAN, NE
    ZIP 68832
  • Facility Phone: 402 845-4500
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MS. MELODIE CARLIN

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CLIA Record

Field Name Field Value
CLIA Number 28D1081015
LAB Type Assisted Living Facility
Facility Name PRAIRIE WINDS ASSISTED LIVING
Street 603 W 6TH STREET
City DONIPHAN
State NE
ZIP 68832
Phone 402 845-4500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type Assisted Living Facility
Lab Director MS. MELODIE CARLIN

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This page was last updated on: 6/4/2025