28D2003590 CLIA NUMBER - PATHFINDER PLACE

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Laboratory Demographics

CLIA Number: 28D2003590

Facility Name: PATHFINDER PLACE

Facility Address:
3010 N CLARKSON STREET
FREMONT, NE
ZIP 68025
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Facility Phone Number: 402 721-7714

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1164619482

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	28D2003590
LAB Type	Assisted Living Facility
Facility Name	PATHFINDER PLACE
Street	3010 N CLARKSON STREET
City	FREMONT
State	NE
ZIP	68025
Phone	402 721-7714
CertificateType	4
CertificateEffectiveDate	6/16/2023
CertificateExpirationDate	6/15/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024