28D1083842 CLIA NUMBER - HAVEN MANOR - HICKMAN

Laboratory Demographics

  • CLIA Code: 28D1083842
  • Facility Name: HAVEN MANOR - HICKMAN
  • Facility Address: 730 LARKSPUR DRIVE
    HICKMAN, NE
    ZIP 68372
  • Facility Phone: 402 792-3088
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MS. JILL STROUF
  • NPI Number: 1659642205
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 28D1083842
LAB Type Assisted Living Facility
Facility Name HAVEN MANOR - HICKMAN
Street 730 LARKSPUR DRIVE
City HICKMAN
State NE
ZIP 68372
Phone 402 792-3088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2024
Certificate Expiration Date 5/11/2026
Facility Type Assisted Living Facility
Lab Director MS. JILL STROUF

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