28D1068220 CLIA NUMBER - MIDWEST EYE CARE

Laboratory Demographics

  • CLIA Code: 28D1068220
  • Facility Name: MIDWEST EYE CARE
  • Facility Address: 4353 DODGE STREET
    OMAHA, NE
    ZIP 68131
  • Facility Phone: 402 552-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATTHEW A. APPENZELLER
  • NPI Number: 1780938530
  • Taxonomy: 156FX1800X - Technician/Technologist

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CLIA Record

Field Name Field Value
CLIA Number 28D1068220
LAB Type Physician Office
Facility Name MIDWEST EYE CARE
Street 4353 DODGE STREET
City OMAHA
State NE
ZIP 68131
Phone 402 552-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Physician Office
Lab Director MATTHEW A. APPENZELLER

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