28D0964358 CLIA NUMBER - NORTHEAST NEBRASKA SURGERY CENTER DBA FAITH REGIONAL SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 28D0964358
  • Facility Name: NORTHEAST NEBRASKA SURGERY CENTER DBA FAITH REGIONAL SURGERY CENTER
  • Facility Address: 2701 W NORFOLK AVE, STE 101
    NORFOLK, NE
    ZIP 68701
  • Facility Phone: 402 644-7262
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MS. COURTNEY BURBACH
  • NPI Number: 1861497380
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D0964358
LAB Type Ambulatory Surgery Center
Facility Name NORTHEAST NEBRASKA SURGERY CENTER DBA FAITH REGIONAL SURGERY CENTER
Street 2701 W NORFOLK AVE, STE 101
City NORFOLK
State NE
ZIP 68701
Phone 402 644-7262
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2025
Certificate Expiration Date 8/23/2027
Facility Type Ambulatory Surgery Center
Lab Director MS. COURTNEY BURBACH

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