28D1078537 CLIA NUMBER - BAART COMMUNITY HEALTHCARE BAART PROGRAMS OMAHA

Laboratory Demographics

  • CLIA Code: 28D1078537
  • Facility Name: BAART COMMUNITY HEALTHCARE BAART PROGRAMS OMAHA
  • Facility Address: 1941 S 42ND STREET, SUITE 210
    OMAHA, NE
    ZIP 68105
  • Facility Phone: 402 341-6220
  • Facility Type: Other - NARCOTIC TREATMENT PROGRA
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL SULLIVAN
  • NPI Number: 1639601826
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D1078537
LAB Type Other - NARCOTIC TREATMENT PROGRA
Facility Name BAART COMMUNITY HEALTHCARE BAART PROGRAMS OMAHA
Street 1941 S 42ND STREET, SUITE 210
City OMAHA
State NE
ZIP 68105
Phone 402 341-6220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Other - NARCOTIC TREATMENT PROGRA
Lab Director DR. MICHAEL SULLIVAN

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