28D0454559 CLIA NUMBER - PRIMARY CARE PHYSICIANS LLP

Laboratory Demographics

  • CLIA Code: 28D0454559
  • Facility Name: PRIMARY CARE PHYSICIANS LLP
  • Facility Address: 12728 AUGUSTA AVENUE
    OMAHA, NE
    ZIP 68144
  • Facility Phone: 402 330-1410
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MS. HALLI J. IRWIN
  • NPI Number: 1649230426
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 28D0454559
LAB Type Physician Office
Facility Name PRIMARY CARE PHYSICIANS LLP
Street 12728 AUGUSTA AVENUE
City OMAHA
State NE
ZIP 68144
Phone 402 330-1410
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/14/2023
Certificate Expiration Date 12/13/2025
Facility Type Physician Office
Lab Director MS. HALLI J. IRWIN

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