28D2001579 CLIA NUMBER - MADISON HOUSE

Laboratory Demographics

  • CLIA Code: 28D2001579
  • Facility Name: MADISON HOUSE
  • Facility Address: 1120 NORTH 1ST STREET
    NORFOLK, NE
    ZIP 68701
  • Facility Phone: 402 644-4567
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MS. ANGELA KORTH
  • NPI Number: 1245604024
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 28D2001579
LAB Type Assisted Living Facility
Facility Name MADISON HOUSE
Street 1120 NORTH 1ST STREET
City NORFOLK
State NE
ZIP 68701
Phone 402 644-4567
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type Assisted Living Facility
Lab Director MS. ANGELA KORTH

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