28D0689044 CLIA NUMBER - ADULT PEDIATRIC UROLOGY & UROGYNECOLOGY

Laboratory Demographics

  • CLIA Code: 28D0689044
  • Facility Name: ADULT PEDIATRIC UROLOGY & UROGYNECOLOGY
  • Facility Address: 2735 NORTH CLARKSON STREET
    FREMONT, NE
    ZIP 68025
  • Facility Phone: 402 727-5000
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. WAYNE R. MARKUS
  • NPI Number: 1851126643
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 28D0689044
LAB Type Physician Office
Facility Name ADULT PEDIATRIC UROLOGY & UROGYNECOLOGY
Street 2735 NORTH CLARKSON STREET
City FREMONT
State NE
ZIP 68025
Phone 402 727-5000
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 4/6/2024
Certificate Expiration Date 4/5/2026
Facility Type Physician Office
Lab Director DR. WAYNE R. MARKUS

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This page was last updated on: 6/4/2025