28D0454191 CLIA NUMBER - MID-CITY OB-GYN

Laboratory Demographics

  • CLIA Code: 28D0454191
  • Facility Name: MID-CITY OB-GYN
  • Facility Address: 7205 WEST CENTER RD, SUITE 200
    OMAHA, NE
    ZIP 68124
  • Facility Phone: 402 397-6600
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. KENT H. SIEMERS
  • NPI Number: 1861578817
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 28D0454191
LAB Type Physician Office
Facility Name MID-CITY OB-GYN
Street 7205 WEST CENTER RD, SUITE 200
City OMAHA
State NE
ZIP 68124
Phone 402 397-6600
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 6/2/2024
Certificate Expiration Date 6/1/2026
Facility Type Physician Office
Lab Director DR. KENT H. SIEMERS

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