28D0713450 CLIA NUMBER - SKYLINE MEDICAL CENTER PC

Laboratory Demographics

  • CLIA Code: 28D0713450
  • Facility Name: SKYLINE MEDICAL CENTER PC
  • Facility Address: SKYLINE MED CTR 1908 NORTH BINFIELD
    ELKHORN, NE
    ZIP 68022
  • Facility Phone: 402 289-4031
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: EDWARD P. MONTANEZ MD
  • NPI Number: 1477526341
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D0713450
LAB Type Physician Office
Facility Name SKYLINE MEDICAL CENTER PC
Street SKYLINE MED CTR 1908 NORTH BINFIELD
City ELKHORN
State NE
ZIP 68022
Phone 402 289-4031
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director EDWARD P. MONTANEZ MD

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