28D2115347 CLIA NUMBER - AKSARBEN VILLAGE RETIREMENT COMMUNITY

Laboratory Demographics

CLIA Number: 28D2115347

Facility Name: AKSARBEN VILLAGE RETIREMENT COMMUNITY

Facility Address:
1330 SOUTH 70TH STREET
OMAHA, NE
ZIP 68106
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Facility Phone Number: 402 810-9440

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1922586858

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	28D2115347
LAB Type	Assisted Living Facility
Facility Name	AKSARBEN VILLAGE RETIREMENT COMMUNITY
Street	1330 SOUTH 70TH STREET
City	OMAHA
State	NE
ZIP	68106
Phone	402 810-9440
CertificateType	4
CertificateEffectiveDate	7/5/2022
CertificateExpirationDate	7/4/2024
FacilityType	Waiver

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