28D0912057 CLIA NUMBER - HOLY FAMILY MEDICAL ASSOCIATES LLC

Laboratory Demographics

  • CLIA Code: 28D0912057
  • Facility Name: HOLY FAMILY MEDICAL ASSOCIATES LLC
  • Facility Address: 7121 STEPHANIE LANE, SUITE 105
    LINCOLN, NE
    ZIP 68516
  • Facility Phone: 402 484-8383
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. TIMOTHY FISCHER
  • NPI Number: 1679507693
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 28D0912057
LAB Type Physician Office
Facility Name HOLY FAMILY MEDICAL ASSOCIATES LLC
Street 7121 STEPHANIE LANE, SUITE 105
City LINCOLN
State NE
ZIP 68516
Phone 402 484-8383
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Physician Office
Lab Director DR. TIMOTHY FISCHER

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