28D0945424 CLIA NUMBER - GASTROENTEROLOGY SPECIALTIES HISTOLOGY LAB

Laboratory Demographics

  • CLIA Code: 28D0945424
  • Facility Name: GASTROENTEROLOGY SPECIALTIES HISTOLOGY LAB
  • Facility Address: 4545 R STREET ROOM 202
    LINCOLN, NE
    ZIP 68503
  • Facility Phone: 402 465-4545
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. KERRY L. BERNAL
  • NPI Number: 1083747380
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 28D0945424
LAB Type Physician Office
Facility Name GASTROENTEROLOGY SPECIALTIES HISTOLOGY LAB
Street 4545 R STREET ROOM 202
City LINCOLN
State NE
ZIP 68503
Phone 402 465-4545
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 12/18/2023
Certificate Expiration Date 12/17/2025
Facility Type Physician Office
Lab Director DR. KERRY L. BERNAL

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