28D2194231 CLIA NUMBER - PRAIRIE BREEZE ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 28D2194231
  • Facility Name: PRAIRIE BREEZE ASSISTED LIVING
  • Facility Address: ONE MAZOUR DRIVE
    PENDER, NE
    ZIP 68047
  • Facility Phone: 402 385-1999
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: AMANDA J. BACH

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 28D2194231
LAB Type Assisted Living Facility
Facility Name PRAIRIE BREEZE ASSISTED LIVING
Street ONE MAZOUR DRIVE
City PENDER
State NE
ZIP 68047
Phone 402 385-1999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type Assisted Living Facility
Lab Director AMANDA J. BACH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025