28D2161707 CLIA NUMBER - FALLBROOK ASSISTED LIVING AND MEMORY CARE

Laboratory Demographics

  • CLIA Code: 28D2161707
  • Facility Name: FALLBROOK ASSISTED LIVING AND MEMORY CARE
  • Facility Address: 6600 JULIET COURT
    LINCOLN, NE
    ZIP 68521
  • Facility Phone: 402 261-9050
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MS. VIRGINIA COLE
  • NPI Number: 1255802468
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 28D2161707
LAB Type Assisted Living Facility
Facility Name FALLBROOK ASSISTED LIVING AND MEMORY CARE
Street 6600 JULIET COURT
City LINCOLN
State NE
ZIP 68521
Phone 402 261-9050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Assisted Living Facility
Lab Director MS. VIRGINIA COLE

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