28D1016667 CLIA NUMBER - METHODIST PHYSICIANS CLINIC - COLONOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 28D1016667
  • Facility Name: METHODIST PHYSICIANS CLINIC - COLONOSCOPY CENTER
  • Facility Address: 9850 NICHOLAS ST #100
    OMAHA, NE
    ZIP 68114
  • Facility Phone: 402 343-1122
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. GARNET J. BLATCHFORD
  • NPI Number: 1346645942
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 28D1016667
LAB Type Ambulatory Surgery Center
Facility Name METHODIST PHYSICIANS CLINIC - COLONOSCOPY CENTER
Street 9850 NICHOLAS ST #100
City OMAHA
State NE
ZIP 68114
Phone 402 343-1122
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2025
Certificate Expiration Date 9/3/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. GARNET J. BLATCHFORD

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