28D0954660 CLIA NUMBER - LINCOLN PEDIATRIC GROUP

Laboratory Demographics

  • CLIA Code: 28D0954660
  • Facility Name: LINCOLN PEDIATRIC GROUP
  • Facility Address: 5625 S 62ND STREET SUITE 100
    LINCOLN, NE
    ZIP 68516
  • Facility Phone: 402 489-3834
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHELLE WINEINGER
  • NPI Number: 1508389610
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 28D0954660
LAB Type Physician Office
Facility Name LINCOLN PEDIATRIC GROUP
Street 5625 S 62ND STREET SUITE 100
City LINCOLN
State NE
ZIP 68516
Phone 402 489-3834
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2024
Certificate Expiration Date 12/3/2026
Facility Type Physician Office
Lab Director DR. MICHELLE WINEINGER

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