28D2203451 CLIA NUMBER - SEASONS, THE

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Laboratory Demographics

CLIA Number: 28D2203451

Facility Name: SEASONS, THE

Facility Address:
6305 O STREET
LINCOLN, NE
ZIP 68510
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Facility Phone Number: 402 489-6591

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1891399291

Taxonomy: 101YM0800X - Counselor

CLIA Record

Field Name	Field Value
CLIA Number	28D2203451
LAB Type	Assisted Living Facility
Facility Name	SEASONS, THE
Street	6305 O STREET
City	LINCOLN
State	NE
ZIP	68510
Phone	402 489-6591
CertificateType	4
CertificateEffectiveDate	12/3/2022
CertificateExpirationDate	12/2/2024
FacilityType	Waiver

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