28D2209740 CLIA NUMBER - QUALITY SENIOR VILLAGES INC

Laboratory Demographics

  • CLIA Code: 28D2209740
  • Facility Name: QUALITY SENIOR VILLAGES INC
  • Facility Address: 715 ARAPAHOE LANE
    BROKEN BOW, NE
    ZIP 68822
  • Facility Phone: 308 872-6387
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MR. KENT SHAW
  • NPI Number: 1730571837
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D2209740
LAB Type Assisted Living Facility
Facility Name QUALITY SENIOR VILLAGES INC
Street 715 ARAPAHOE LANE
City BROKEN BOW
State NE
ZIP 68822
Phone 308 872-6387
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2025
Certificate Expiration Date 1/14/2027
Facility Type Assisted Living Facility
Lab Director MR. KENT SHAW

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