28D0932103 CLIA NUMBER - FAITH REGIONAL PHYSICIAN SERVICES OBGYN

Laboratory Demographics

  • CLIA Code: 28D0932103
  • Facility Name: FAITH REGIONAL PHYSICIAN SERVICES OBGYN
  • Facility Address: 2701 W NORFOLK AVE
    NORFOLK, NE
    ZIP 68701
  • Facility Phone: 402 644-4600
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARK W. DAVIS
  • NPI Number: 1275074577
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 28D0932103
LAB Type Physician Office
Facility Name FAITH REGIONAL PHYSICIAN SERVICES OBGYN
Street 2701 W NORFOLK AVE
City NORFOLK
State NE
ZIP 68701
Phone 402 644-4600
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 2/23/2024
Certificate Expiration Date 2/22/2026
Facility Type Physician Office
Lab Director MARK W. DAVIS

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This page was last updated on: 6/4/2025