28D1071983 CLIA NUMBER - VILLAGE POINTE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 28D1071983
  • Facility Name: VILLAGE POINTE PEDIATRICS
  • Facility Address: 18018 BURKE STREET
    ELKHORN, NE
    ZIP 68022
  • Facility Phone: 402 573-7337
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARY C. DEK
  • NPI Number: 1710459474
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 28D1071983
LAB Type Physician Office
Facility Name VILLAGE POINTE PEDIATRICS
Street 18018 BURKE STREET
City ELKHORN
State NE
ZIP 68022
Phone 402 573-7337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Physician Office
Lab Director DR. MARY C. DEK

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