28D1000663 CLIA NUMBER - LINCOLN ENDOSCOPY CENTER LAB

Laboratory Demographics

  • CLIA Code: 28D1000663
  • Facility Name: LINCOLN ENDOSCOPY CENTER LAB
  • Facility Address: 4545 R STREET - SUITE 101
    LINCOLN, NE
    ZIP 68503
  • Facility Phone: 402 465-4545
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARK G. GRIFFIN
  • NPI Number: 1992741300
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D1000663
LAB Type Physician Office
Facility Name LINCOLN ENDOSCOPY CENTER LAB
Street 4545 R STREET - SUITE 101
City LINCOLN
State NE
ZIP 68503
Phone 402 465-4545
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2024
Certificate Expiration Date 6/18/2026
Facility Type Physician Office
Lab Director DR. MARK G. GRIFFIN

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