28D2020700 CLIA NUMBER - MOSAIC YORK MOSAIC ICF/ID

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CLIA Record

Field Name Field Value
CLIA Number 28D2020700
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name MOSAIC YORK MOSAIC ICF/ID
Street 2215 MEADOW LANE
City YORK
State NE
ZIP 68467
Phone 308 370-0137
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2025
Certificate Expiration Date 2/24/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director ALICIA R. FURREY

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