28D0975058 CLIA NUMBER - YMS PC

Laboratory Demographics

  • CLIA Code: 28D0975058
  • Facility Name: YMS PC
  • Facility Address: 2805 S 88TH STREET SUITE 101
    OMAHA, NE
    ZIP 68124
  • Facility Phone: 402 390-0555
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DEANNA M. KAUP
  • NPI Number: 1255880027
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 28D0975058
LAB Type Community Clinic
Facility Name YMS PC
Street 2805 S 88TH STREET SUITE 101
City OMAHA
State NE
ZIP 68124
Phone 402 390-0555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2024
Certificate Expiration Date 6/25/2026
Facility Type Community Clinic
Lab Director DEANNA M. KAUP

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