28D0453499 CLIA NUMBER - MPC FREMONT FAMILY CARE & INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 28D0453499
  • Facility Name: MPC FREMONT FAMILY CARE & INTERNAL MEDICINE
  • Facility Address: 680 E FREMONT MEDICAL PARK DR
    FREMONT, NE
    ZIP 68025
  • Facility Phone: 402 727-1091
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. RICHARD J. SEITZ

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CLIA Record

Field Name Field Value
CLIA Number 28D0453499
LAB Type Physician Office
Facility Name MPC FREMONT FAMILY CARE & INTERNAL MEDICINE
Street 680 E FREMONT MEDICAL PARK DR
City FREMONT
State NE
ZIP 68025
Phone 402 727-1091
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director DR. RICHARD J. SEITZ

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This page was last updated on: 6/4/2025