28D0875213 CLIA NUMBER - KRISTI K PETERSON MD PC

Laboratory Demographics

  • CLIA Code: 28D0875213
  • Facility Name: KRISTI K PETERSON MD PC
  • Facility Address: 10701 SOUTH 72ND STREET SUITE 100
    PAPILLION, NE
    ZIP 68046
  • Facility Phone: 402 827-9400
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KRISTI K. PETERSON
  • NPI Number: 1427003136
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 28D0875213
LAB Type Physician Office
Facility Name KRISTI K PETERSON MD PC
Street 10701 SOUTH 72ND STREET SUITE 100
City PAPILLION
State NE
ZIP 68046
Phone 402 827-9400
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 8/19/2025
Certificate Expiration Date 8/18/2027
Facility Type Physician Office
Lab Director KRISTI K. PETERSON

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