28D0996229 CLIA NUMBER - CHI HEALTH CLINIC HEART INSTITUTE CUMC BERGAN MERCY

Laboratory Demographics

  • CLIA Code: 28D0996229
  • Facility Name: CHI HEALTH CLINIC HEART INSTITUTE CUMC BERGAN MERCY
  • Facility Address: 7500 MERCY ROAD
    OMAHA, NE
    ZIP 68124
  • Facility Phone: 402 398-5880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ERIC VAN DE GRAAFF
  • NPI Number: 1821134826
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 28D0996229
LAB Type Physician Office
Facility Name CHI HEALTH CLINIC HEART INSTITUTE CUMC BERGAN MERCY
Street 7500 MERCY ROAD
City OMAHA
State NE
ZIP 68124
Phone 402 398-5880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2024
Certificate Expiration Date 2/11/2026
Facility Type Physician Office
Lab Director DR. ERIC VAN DE GRAAFF

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