28D0896460 CLIA NUMBER - OMEGA SURGERY CENTERS LLC

Laboratory Demographics

CLIA Number: 28D0896460

Facility Name: OMEGA SURGERY CENTERS LLC

Facility Address:
755 FALLBROOK BLVD, SUITE 204
LINCOLN, NE
ZIP 68521
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Facility Phone Number: 402 483-4448

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1942306816

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	28D0896460
LAB Type	Ambulatory Surgery Center
Facility Name	OMEGA SURGERY CENTERS LLC
Street	755 FALLBROOK BLVD, SUITE 204
City	LINCOLN
State	NE
ZIP	68521
Phone	402 483-4448
CertificateType	4
CertificateEffectiveDate	1/10/2023
CertificateExpirationDate	1/9/2025
FacilityType	Waiver

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