28D2165008 CLIA NUMBER - RICHMONT TERRACE ASSISTED LIVING AND MEMORY CARE

Laboratory Demographics

  • CLIA Code: 28D2165008
  • Facility Name: RICHMONT TERRACE ASSISTED LIVING AND MEMORY CARE
  • Facility Address: 620 FORT CROOK ROAD SOUTH
    BELLEVUE, NE
    ZIP 68005
  • Facility Phone: 402 800-2502
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ANNIE DYER
  • NPI Number: 1255848461
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 28D2165008
LAB Type Assisted Living Facility
Facility Name RICHMONT TERRACE ASSISTED LIVING AND MEMORY CARE
Street 620 FORT CROOK ROAD SOUTH
City BELLEVUE
State NE
ZIP 68005
Phone 402 800-2502
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type Assisted Living Facility
Lab Director ANNIE DYER

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