28D0707873 CLIA NUMBER - BRYAN PLAZA FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 28D0707873
  • Facility Name: BRYAN PLAZA FAMILY MEDICINE
  • Facility Address: 1500 S 48TH STREET SUITE 412
    LINCOLN, NE
    ZIP 68506
  • Facility Phone: 402 483-8686
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAYLA HEIDINGER
  • NPI Number: 1982688537
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D0707873
LAB Type Physician Office
Facility Name BRYAN PLAZA FAMILY MEDICINE
Street 1500 S 48TH STREET SUITE 412
City LINCOLN
State NE
ZIP 68506
Phone 402 483-8686
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2024
Certificate Expiration Date 9/15/2026
Facility Type Physician Office
Lab Director KAYLA HEIDINGER

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