28D2197806 CLIA NUMBER - PINKERTON ENTERPRISES NORTH PLATTE LLC

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Laboratory Demographics

CLIA Number: 28D2197806

Facility Name: PINKERTON ENTERPRISES NORTH PLATTE LLC

Facility Address:
420 W 4TH ST
NORTH PLATTE, NE
ZIP 69101
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Facility Phone Number: 308 660-3147

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1801176789

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	28D2197806
LAB Type	Assisted Living Facility
Facility Name	PINKERTON ENTERPRISES NORTH PLATTE LLC
Street	420 W 4TH ST
City	NORTH PLATTE
State	NE
ZIP	69101
Phone	308 660-3147
CertificateType	4
CertificateEffectiveDate	10/27/2022
CertificateExpirationDate	10/26/2024
FacilityType	Waiver

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