28D1050381 CLIA NUMBER - ADVANCED SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 28D1050381
  • Facility Name: ADVANCED SURGERY CENTER LLC
  • Facility Address: 111 S 10TH STREET
    OMAHA, NE
    ZIP 68102
  • Facility Phone: 402 345-1712
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: CHERRYLL M. MANN
  • NPI Number: 1053366930
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D1050381
LAB Type Ambulatory Surgery Center
Facility Name ADVANCED SURGERY CENTER LLC
Street 111 S 10TH STREET
City OMAHA
State NE
ZIP 68102
Phone 402 345-1712
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type Ambulatory Surgery Center
Lab Director CHERRYLL M. MANN

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This page was last updated on: 3/20/2025