28D2237905 CLIA NUMBER - SUNCREST HOSPICE NEBRASKA, LLC

Laboratory Demographics

  • CLIA Code: 28D2237905
  • Facility Name: SUNCREST HOSPICE NEBRASKA, LLC
  • Facility Address: 1125 S 103RD ST STE 100
    OMAHA, NE
    ZIP 68124
  • Facility Phone: 402 509-7655
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ANNE H. NISLEY
  • NPI Number: 1205460037
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 28D2237905
LAB Type Hospice
Facility Name SUNCREST HOSPICE NEBRASKA, LLC
Street 1125 S 103RD ST STE 100
City OMAHA
State NE
ZIP 68124
Phone 402 509-7655
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type Hospice
Lab Director ANNE H. NISLEY

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