28D0994021 CLIA NUMBER - ONCOLOGY HEMATOLOGY WEST PC

Laboratory Demographics

CLIA Number: 28D0994021

Facility Name: ONCOLOGY HEMATOLOGY WEST PC

Facility Address:
611 FENWICK DRIVE
PAPILLION, NE
ZIP 68046
Get Directions

Facility Phone Number: 402 537-5620

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1154528909

Taxonomy: 207RH0003X - Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

CLIA Record

Field Name	Field Value
CLIA Number	28D0994021
LAB Type	Physician Office
Facility Name	ONCOLOGY HEMATOLOGY WEST PC
Street	611 FENWICK DRIVE
City	PAPILLION
State	NE
ZIP	68046
Phone	402 537-5620
CertificateType	1
CertificateEffectiveDate	1/23/2023
CertificateExpirationDate	1/22/2025
FacilityType	Accreditation

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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