28D0696026 CLIA NUMBER - SKIN PC FREMONT

Laboratory Demographics

  • CLIA Code: 28D0696026
  • Facility Name: SKIN PC FREMONT
  • Facility Address: 410 EAST 22ND, SUITE 1
    FREMONT, NE
    ZIP 68025
  • Facility Phone: 402 727-7979
  • Facility Type: Independent
  • Facility Type: Microscopy
  • Lab Director: MR. CHAD HILLYER
  • NPI Number: 1801277801
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 28D0696026
LAB Type Independent
Facility Name SKIN PC FREMONT
Street 410 EAST 22ND, SUITE 1
City FREMONT
State NE
ZIP 68025
Phone 402 727-7979
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 1/19/2024
Certificate Expiration Date 1/18/2026
Facility Type Independent
Lab Director MR. CHAD HILLYER

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