28D0921020 CLIA NUMBER - CHILDRENS PHYSICIANS - EAGLE RUN

Laboratory Demographics

  • CLIA Code: 28D0921020
  • Facility Name: CHILDRENS PHYSICIANS - EAGLE RUN
  • Facility Address: 13808 WEST MAPLE ROAD #100
    OMAHA, NE
    ZIP 68164
  • Facility Phone: 402 955-3000
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. DAVID KAUFMAN
  • NPI Number: 1679607428
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 28D0921020
LAB Type Physician Office
Facility Name CHILDRENS PHYSICIANS - EAGLE RUN
Street 13808 WEST MAPLE ROAD #100
City OMAHA
State NE
ZIP 68164
Phone 402 955-3000
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 11/6/2024
Certificate Expiration Date 11/5/2026
Facility Type Physician Office
Lab Director DR. DAVID KAUFMAN

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