28D2000313 CLIA NUMBER - MORTON PLACE

Laboratory Demographics

  • CLIA Code: 28D2000313
  • Facility Name: MORTON PLACE
  • Facility Address: 1500 14TH AVENUE
    NEBRASKA CITY, NE
    ZIP 68410
  • Facility Phone: 402 261-2797
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MS. SUSIE MCGOWEN
  • NPI Number: 1518359413
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 28D2000313
LAB Type Assisted Living Facility
Facility Name MORTON PLACE
Street 1500 14TH AVENUE
City NEBRASKA CITY
State NE
ZIP 68410
Phone 402 261-2797
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2023
Certificate Expiration Date 11/24/2025
Facility Type Assisted Living Facility
Lab Director MS. SUSIE MCGOWEN

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