28D2201103 CLIA NUMBER - HERITAGE AT FOUNTAIN POINT, THE

Laboratory Demographics

  • CLIA Code: 28D2201103
  • Facility Name: HERITAGE AT FOUNTAIN POINT, THE
  • Facility Address: 3725 MADISON AVENUE
    NORFOLK, NE
    ZIP 68701
  • Facility Phone: (402) 758-9000
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MANDY BOSSE
  • NPI Number: 1154191724
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 28D2201103
LAB Type Assisted Living Facility
Facility Name HERITAGE AT FOUNTAIN POINT, THE
Street 3725 MADISON AVENUE
City NORFOLK
State NE
ZIP 68701
Phone 4027589000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Assisted Living Facility
Lab Director MANDY BOSSE

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This page was last updated on: 5/18/2026