28D2124675 CLIA NUMBER - DEVINE HEALTHCARE, LLC

Laboratory Demographics

  • CLIA Code: 28D2124675
  • Facility Name: DEVINE HEALTHCARE, LLC
  • Facility Address: 843 E 4TH STREET, SUITE A
    AINSWORTH, NE
    ZIP 69210
  • Facility Phone: 402 382-3555
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: MS. ELIZABETH NELSON
  • NPI Number: 1831635390
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D2124675
LAB Type Practitioner Other
Facility Name DEVINE HEALTHCARE, LLC
Street 843 E 4TH STREET, SUITE A
City AINSWORTH
State NE
ZIP 69210
Phone 402 382-3555
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/24/2025
Certificate Expiration Date 1/23/2027
Facility Type Practitioner Other
Lab Director MS. ELIZABETH NELSON

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