28D0454015 CLIA NUMBER - PARKWAY OB-GYN

Laboratory Demographics

CLIA Number: 28D0454015

Facility Name: PARKWAY OB-GYN

Facility Address:
310 REGENCY PKWY
OMAHA, NE
ZIP 68114
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Facility Phone Number: 402 392-0303

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1073788030

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	28D0454015
LAB Type	Physician Office
Facility Name	PARKWAY OB-GYN
Street	310 REGENCY PKWY
City	OMAHA
State	NE
ZIP	68114
Phone	402 392-0303
CertificateType	4
CertificateEffectiveDate	4/27/2022
CertificateExpirationDate	4/26/2024
FacilityType	Waiver

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