28D1015690 CLIA NUMBER - PHYSICIANS CLINIC DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 28D1015690
  • Facility Name: PHYSICIANS CLINIC DERMATOLOGY
  • Facility Address: 515 N 162ND AVE SUITE 302
    OMAHA, NE
    ZIP 68118
  • Facility Phone: 402 354-0621
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. SCOTT M. DEBATES
  • NPI Number: 1720606932
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 28D1015690
LAB Type Physician Office
Facility Name PHYSICIANS CLINIC DERMATOLOGY
Street 515 N 162ND AVE SUITE 302
City OMAHA
State NE
ZIP 68118
Phone 402 354-0621
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/13/2024
Certificate Expiration Date 1/12/2026
Facility Type Physician Office
Lab Director DR. SCOTT M. DEBATES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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