28D2196753 CLIA NUMBER - LEGACY TERRACE II, LP DBA THE ARBORS

Laboratory Demographics

  • CLIA Code: 28D2196753
  • Facility Name: LEGACY TERRACE II, LP DBA THE ARBORS
  • Facility Address: 3777 N 58TH STREET
    LINCOLN, NE
    ZIP 68507
  • Facility Phone: 402 466-3777
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: STACIE R. BECWAR
  • NPI Number: 1053695965
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 28D2196753
LAB Type Assisted Living Facility
Facility Name LEGACY TERRACE II, LP DBA THE ARBORS
Street 3777 N 58TH STREET
City LINCOLN
State NE
ZIP 68507
Phone 402 466-3777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2024
Certificate Expiration Date 10/19/2026
Facility Type Assisted Living Facility
Lab Director STACIE R. BECWAR

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