28D2191698 CLIA NUMBER - GENOA COMMUNITY HOSPITAL/LTC

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Laboratory Demographics

CLIA Number: 28D2191698

Facility Name: GENOA COMMUNITY HOSPITAL/LTC

Facility Address:
606 EWING AVENUE
GENOA, NE
ZIP 68640
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Facility Phone Number: 402 993-4585

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1902045479

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	28D2191698
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	GENOA COMMUNITY HOSPITAL/LTC
Street	606 EWING AVENUE
City	GENOA
State	NE
ZIP	68640
Phone	402 993-4585
CertificateType	4
CertificateEffectiveDate	8/31/2022
CertificateExpirationDate	8/30/2024
FacilityType	Waiver

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