28D0975575 CLIA NUMBER - MIDWEST EYE SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 28D0975575
  • Facility Name: MIDWEST EYE SURGERY CENTER, LLC
  • Facility Address: 4353 DODGE STREET - LOWER LEVEL
    OMAHA, NE
    ZIP 68131
  • Facility Phone: 402 552-2882
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. JESSE T. HIMEBAUGH
  • NPI Number: 1104150333
  • Taxonomy: 156FX1800X - Technician/Technologist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 28D0975575
LAB Type Ambulatory Surgery Center
Facility Name MIDWEST EYE SURGERY CENTER, LLC
Street 4353 DODGE STREET - LOWER LEVEL
City OMAHA
State NE
ZIP 68131
Phone 402 552-2882
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2024
Certificate Expiration Date 7/10/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. JESSE T. HIMEBAUGH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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