28D2196908 CLIA NUMBER - PEMBERLY PLACE MANAGEMENT

Laboratory Demographics

  • CLIA Code: 28D2196908
  • Facility Name: PEMBERLY PLACE MANAGEMENT
  • Facility Address: 7655 ARCHER PLACE
    LINCOLN, NE
    ZIP 68516
  • Facility Phone: 402 413-9770
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KARLEY M. CASTRO
  • NPI Number: 1568929263
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 28D2196908
LAB Type Assisted Living Facility
Facility Name PEMBERLY PLACE MANAGEMENT
Street 7655 ARCHER PLACE
City LINCOLN
State NE
ZIP 68516
Phone 402 413-9770
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 KARLEY M. CASTRO

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