28D2303676 CLIA NUMBER - HAVEN HOSPICE INC

Laboratory Demographics

  • CLIA Code: 28D2303676
  • Facility Name: HAVEN HOSPICE INC
  • Facility Address: 11016 MOCKINGBIRD DRIVE UNIT 104
    OMAHA, NE
    ZIP 68137
  • Facility Phone: 531 999-2555
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: STACEY L. FIFE
  • NPI Number: 1689433880
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 28D2303676
LAB Type Hospice
Facility Name HAVEN HOSPICE INC
Street 11016 MOCKINGBIRD DRIVE UNIT 104
City OMAHA
State NE
ZIP 68137
Phone 531 999-2555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Hospice
Lab Director STACEY L. FIFE

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