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28D2039105 CLIA NUMBER - PLATTSMOUTH GENERAL PEDIATRICS NEB PEDIATRIC PRACTICE D/B/A CHILDREN'S SPEC PHYS

Laboratory Demographics

CLIA Number: 28D2039105

Facility Name: PLATTSMOUTH GENERAL PEDIATRICS NEB PEDIATRIC PRACTICE D/B/A CHILDREN'S SPEC PHYS

Facility Address:
1938 EAST HIGHWAY 34
PLATTSMOUTH, NE
ZIP 68048
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Facility Phone Number: 402 955-7150

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1215484258

Taxonomy: 314000000X - Skilled Nursing Facility
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

CLIA Record

Field Name Field Value
CLIA Number 28D2039105
LAB Type Physician Office
Facility Name PLATTSMOUTH GENERAL PEDIATRICS NEB PEDIATRIC PRACTICE D/B/A CHILDREN'S SPEC PHYS
Street 1938 EAST HIGHWAY 34
City PLATTSMOUTH
State NE
ZIP 68048
Phone 402 955-7150
CertificateType 4
CertificateEffectiveDate 3/30/2024
CertificateExpirationDate 3/29/2026
FacilityType Waiver

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