28D0687930 CLIA NUMBER - METHODIST PHYSICIANS CLINIC - NORTHWEST

Laboratory Demographics

  • CLIA Code: 28D0687930
  • Facility Name: METHODIST PHYSICIANS CLINIC - NORTHWEST
  • Facility Address: 10710 FORT ST
    OMAHA, NE
    ZIP 68134
  • Facility Phone: 402 496-6500
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: ELIZABETH SCHOENECKER
  • NPI Number: 1831258201
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 28D0687930
LAB Type Physician Office
Facility Name METHODIST PHYSICIANS CLINIC - NORTHWEST
Street 10710 FORT ST
City OMAHA
State NE
ZIP 68134
Phone 402 496-6500
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Physician Office
Lab Director ELIZABETH SCHOENECKER

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