28D1024496 CLIA NUMBER - CHI HEALTH CLINIC HEART INSTITUTE LAKESIDE

Laboratory Demographics

  • CLIA Code: 28D1024496
  • Facility Name: CHI HEALTH CLINIC HEART INSTITUTE LAKESIDE
  • Facility Address: 16909 LAKESIDE HILLS COURT, SUITE 101
    OMAHA, NE
    ZIP 68130
  • Facility Phone: 402 398-5880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. HUSSAM ABUISSA
  • NPI Number: 1588012397
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 28D1024496
LAB Type Physician Office
Facility Name CHI HEALTH CLINIC HEART INSTITUTE LAKESIDE
Street 16909 LAKESIDE HILLS COURT, SUITE 101
City OMAHA
State NE
ZIP 68130
Phone 402 398-5880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2024
Certificate Expiration Date 4/12/2026
Facility Type Physician Office
Lab Director DR. HUSSAM ABUISSA

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