28D0999105 CLIA NUMBER - GEORGETOWN MEDICAL PC

Laboratory Demographics

  • CLIA Code: 28D0999105
  • Facility Name: GEORGETOWN MEDICAL PC
  • Facility Address: 3440 S 50TH STREET
    OMAHA, NE
    ZIP 68106
  • Facility Phone: 402 556-3000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GEORGE S. HUTFLESS
  • NPI Number: 1376518837
  • Taxonomy: 171W00000X - Contractor

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CLIA Record

Field Name Field Value
CLIA Number 28D0999105
LAB Type Physician Office
Facility Name GEORGETOWN MEDICAL PC
Street 3440 S 50TH STREET
City OMAHA
State NE
ZIP 68106
Phone 402 556-3000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2024
Certificate Expiration Date 5/2/2026
Facility Type Physician Office
Lab Director GEORGE S. HUTFLESS

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