28D1018398 CLIA NUMBER - SCOTT J FASSE, MD PC

Laboratory Demographics

  • CLIA Code: 28D1018398
  • Facility Name: SCOTT J FASSE, MD PC
  • Facility Address: 614 N 108TH CT
    OMAHA, NE
    ZIP 68154
  • Facility Phone: 402 884-7218
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SCOTT J. FASSE MD
  • NPI Number: 1154405090
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 28D1018398
LAB Type Physician Office
Facility Name SCOTT J FASSE, MD PC
Street 614 N 108TH CT
City OMAHA
State NE
ZIP 68154
Phone 402 884-7218
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/8/2025
Certificate Expiration Date 4/7/2027
Facility Type Physician Office
Lab Director SCOTT J. FASSE MD

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