28D2256059 CLIA NUMBER - YORK GENERAL WILLOW BROOK ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 28D2256059
  • Facility Name: YORK GENERAL WILLOW BROOK ASSISTED LIVING
  • Facility Address: 2714 N LINCOLN AVE
    YORK, NE
    ZIP 68467
  • Facility Phone: 402 362-4886
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TREVA K. HANSON
  • NPI Number: 1487730024
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 28D2256059
LAB Type Assisted Living Facility
Facility Name YORK GENERAL WILLOW BROOK ASSISTED LIVING
Street 2714 N LINCOLN AVE
City YORK
State NE
ZIP 68467
Phone 402 362-4886
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Assisted Living Facility
Lab Director TREVA K. HANSON

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