28D2268062 CLIA NUMBER - SOUTH CENTRAL DEVELOPMENTAL SERVICES

Laboratory Demographics

  • CLIA Code: 28D2268062
  • Facility Name: SOUTH CENTRAL DEVELOPMENTAL SERVICES
  • Facility Address: 821 J STREET
    COZAD, NE
    ZIP 69130
  • Facility Phone: 308 784-4222
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: LAURIE S. PREITAUER
  • NPI Number: 1841832870
  • Taxonomy: 251C00000X - Day Training, Developmentally Disabled Services

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CLIA Record

Field Name Field Value
CLIA Number 28D2268062
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name SOUTH CENTRAL DEVELOPMENTAL SERVICES
Street 821 J STREET
City COZAD
State NE
ZIP 69130
Phone 308 784-4222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2024
Certificate Expiration Date 9/5/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director LAURIE S. PREITAUER

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