28D2035368 CLIA NUMBER - WEL-LIFE AT OGALLALA

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Laboratory Demographics

CLIA Number: 28D2035368

Facility Name: WEL-LIFE AT OGALLALA

Facility Address:
1610 NORTH SPRUCE
OGALLALA, NE
ZIP 69153
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Facility Phone Number: 308 284-2620

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1811280118

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	28D2035368
LAB Type	Assisted Living Facility
Facility Name	WEL-LIFE AT OGALLALA
Street	1610 NORTH SPRUCE
City	OGALLALA
State	NE
ZIP	69153
Phone	308 284-2620
CertificateType	4
CertificateEffectiveDate	9/20/2022
CertificateExpirationDate	9/19/2024
FacilityType	Waiver

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