28D1061955 CLIA NUMBER - METHODIST PHYSICIANS CLINIC HAWTHORNE COURT

Laboratory Demographics

  • CLIA Code: 28D1061955
  • Facility Name: METHODIST PHYSICIANS CLINIC HAWTHORNE COURT
  • Facility Address: 17675 WELCH PLZ
    OMAHA, NE
    ZIP 68135
  • Facility Phone: 402 354-7619
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: MS. STEFANIE HORST
  • NPI Number: 1942325949
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 28D1061955
LAB Type Physician Office
Facility Name METHODIST PHYSICIANS CLINIC HAWTHORNE COURT
Street 17675 WELCH PLZ
City OMAHA
State NE
ZIP 68135
Phone 402 354-7619
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Physician Office
Lab Director MS. STEFANIE HORST

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