28D0455291 CLIA NUMBER - LINCOLN OB GYN

Laboratory Demographics

  • CLIA Code: 28D0455291
  • Facility Name: LINCOLN OB GYN
  • Facility Address: 9110 ANDERMATT DRIVE, STE 2
    LINCOLN, NE
    ZIP 68526
  • Facility Phone: 402 483-7641
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: GREGORY W. HEIDRICK MD
  • NPI Number: 1811098841
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 28D0455291
LAB Type Community Clinic
Facility Name LINCOLN OB GYN
Street 9110 ANDERMATT DRIVE, STE 2
City LINCOLN
State NE
ZIP 68526
Phone 402 483-7641
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Community Clinic
Lab Director GREGORY W. HEIDRICK MD

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