28D0994103 CLIA NUMBER - ADVANCED CARDIOVASCULAR CARE

Laboratory Demographics

  • CLIA Code: 28D0994103
  • Facility Name: ADVANCED CARDIOVASCULAR CARE
  • Facility Address: 12717 SOUTH 28TH AVENUE
    BELLEVUE, NE
    ZIP 68123
  • Facility Phone: 402 502-3723
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOHN J. CIMINO
  • NPI Number: 1831261957
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 28D0994103
LAB Type Physician Office
Facility Name ADVANCED CARDIOVASCULAR CARE
Street 12717 SOUTH 28TH AVENUE
City BELLEVUE
State NE
ZIP 68123
Phone 402 502-3723
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Physician Office
Lab Director DR. JOHN J. CIMINO

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