28D0909439 CLIA NUMBER - SURGI-SUITE INC

Laboratory Demographics

  • CLIA Code: 28D0909439
  • Facility Name: SURGI-SUITE INC
  • Facility Address: 8900 1/2 WEST DODGE ROAD
    OMAHA, NE
    ZIP 68114
  • Facility Phone: 402 390-0100
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. MARIE MONTAG
  • NPI Number: 1316063332
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D0909439
LAB Type Ambulatory Surgery Center
Facility Name SURGI-SUITE INC
Street 8900 1/2 WEST DODGE ROAD
City OMAHA
State NE
ZIP 68114
Phone 402 390-0100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Ambulatory Surgery Center
Lab Director DR. MARIE MONTAG

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