28D2016575 CLIA NUMBER - WEL-LIFE AT SCOTTSBLUFF

Laboratory Demographics

  • CLIA Code: 28D2016575
  • Facility Name: WEL-LIFE AT SCOTTSBLUFF
  • Facility Address: 617 WEST 33RD STREET
    SCOTTSBLUFF, NE
    ZIP 69361
  • Facility Phone: 308 632-1760
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: CHARLEE GUADARRAMA
  • NPI Number: 1184915977
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 28D2016575
LAB Type Assisted Living Facility
Facility Name WEL-LIFE AT SCOTTSBLUFF
Street 617 WEST 33RD STREET
City SCOTTSBLUFF
State NE
ZIP 69361
Phone 308 632-1760
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Assisted Living Facility
Lab Director CHARLEE GUADARRAMA

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