28D0453954 CLIA NUMBER - ENT SPECIALISTS PC

Laboratory Demographics

  • CLIA Code: 28D0453954
  • Facility Name: ENT SPECIALISTS PC
  • Facility Address: 720 N 129TH STREET
    OMAHA, NE
    ZIP 68154
  • Facility Phone: 402 397-0670
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KENDRA E. LUEBKE
  • NPI Number: 1043282668
  • Taxonomy: 207Y00000X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 28D0453954
LAB Type Physician Office
Facility Name ENT SPECIALISTS PC
Street 720 N 129TH STREET
City OMAHA
State NE
ZIP 68154
Phone 402 397-0670
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/11/2024
Certificate Expiration Date 11/10/2026
Facility Type Physician Office
Lab Director DR. KENDRA E. LUEBKE

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