28D1008739 CLIA NUMBER - RAI CARE CENTERS OF NEBRASKA II, LLC D/B/A RAI - AMES - OMAHA

Laboratory Demographics

CLIA Number: 28D1008739

Facility Name: RAI CARE CENTERS OF NEBRASKA II, LLC D/B/A RAI - AMES - OMAHA

Facility Address:
5084 AMES AVENUE
OMAHA, NE
ZIP 68104
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Facility Phone Number: 402 451-7745

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1295829869

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	28D1008739
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	RAI CARE CENTERS OF NEBRASKA II, LLC D/B/A RAI - AMES - OMAHA
Street	5084 AMES AVENUE
City	OMAHA
State	NE
ZIP	68104
Phone	402 451-7745
CertificateType	4
CertificateEffectiveDate	1/27/2023
CertificateExpirationDate	1/26/2025
FacilityType	Waiver

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