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28D0954660 CLIA NUMBER - LINCOLN PEDIATRIC GROUP

Laboratory Demographics

CLIA Number: 28D0954660

Facility Name: LINCOLN PEDIATRIC GROUP

Facility Address:
5625 S 62ND STREET SUITE 100
LINCOLN, NE
ZIP 68516
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Facility Phone Number: 402 489-3834

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1508389610

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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
CertificateType 4
CertificateEffectiveDate 12/4/2022
CertificateExpirationDate 12/3/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024