28D0872375 CLIA NUMBER - DIALYSIS CLINIC INC

Laboratory Demographics

CLIA Number: 28D0872375

Facility Name: DIALYSIS CLINIC INC

Facility Address:
3316 DODGE STREET
OMAHA, NE
ZIP 68131
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Facility Phone Number: 402 342-0190

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1366475741

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	28D0872375
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	DIALYSIS CLINIC INC
Street	3316 DODGE STREET
City	OMAHA
State	NE
ZIP	68131
Phone	402 342-0190
CertificateType	4
CertificateEffectiveDate	10/30/2023
CertificateExpirationDate	10/29/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024