28D1022258 CLIA NUMBER - CHITRITA ROY MD PC

Laboratory Demographics

  • CLIA Code: 28D1022258
  • Facility Name: CHITRITA ROY MD PC
  • Facility Address: 404 A WEST MISSION AVE
    BELLEVUE, NE
    ZIP 68005
  • Facility Phone: 402 991-5437
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHITRITA ROY MD
  • NPI Number: 1396771010
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 28D1022258
LAB Type Physician Office
Facility Name CHITRITA ROY MD PC
Street 404 A WEST MISSION AVE
City BELLEVUE
State NE
ZIP 68005
Phone 402 991-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2024
Certificate Expiration Date 2/9/2026
Facility Type Physician Office
Lab Director CHITRITA ROY MD

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