28D2207333 CLIA NUMBER - HOMAHA SENIOR CARE, LLC

Laboratory Demographics

  • CLIA Code: 28D2207333
  • Facility Name: HOMAHA SENIOR CARE, LLC
  • Facility Address: 4908 CASS ST
    OMAHA, NE
    ZIP 68132
  • Facility Phone: 402 880-0692
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: CATHERINE J. HORSTMAN
  • NPI Number: 1033616081
  • Taxonomy: 207QG0300X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 28D2207333
LAB Type Mobile Laboratory
Facility Name HOMAHA SENIOR CARE, LLC
Street 4908 CASS ST
City OMAHA
State NE
ZIP 68132
Phone 402 880-0692
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2024
Certificate Expiration Date 12/27/2026
Facility Type Mobile Laboratory
Lab Director CATHERINE J. HORSTMAN

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