28D0697990 CLIA NUMBER - EDGEWOOD FAMILY PHYSICIANS PC

Laboratory Demographics

  • CLIA Code: 28D0697990
  • Facility Name: EDGEWOOD FAMILY PHYSICIANS PC
  • Facility Address: 5200 SOUTH 56TH STREET, SUITE 2
    LINCOLN, NE
    ZIP 68516
  • Facility Phone: 402 421-6200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL HUFFMAN
  • NPI Number: 1689229866
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D0697990
LAB Type Physician Office
Facility Name EDGEWOOD FAMILY PHYSICIANS PC
Street 5200 SOUTH 56TH STREET, SUITE 2
City LINCOLN
State NE
ZIP 68516
Phone 402 421-6200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2025
Certificate Expiration Date 5/21/2027
Facility Type Physician Office
Lab Director DR. MICHAEL HUFFMAN

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