28D0453793 CLIA NUMBER - ONE WORLD COMMUNITY HEALTH CENTERS, INC

Laboratory Demographics

CLIA Number: 28D0453793

Facility Name: ONE WORLD COMMUNITY HEALTH CENTERS, INC

Facility Address:
4920 SOUTH 30TH STREET
OMAHA, NE
ZIP 68107
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Facility Phone Number: 402 502-8846

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1891359485

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	28D0453793
LAB Type	Community Clinic
Facility Name	ONE WORLD COMMUNITY HEALTH CENTERS, INC
Street	4920 SOUTH 30TH STREET
City	OMAHA
State	NE
ZIP	68107
Phone	402 502-8846
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024