28D1089650 CLIA NUMBER - MID PLAINS PODIATRY, PC

Laboratory Demographics

  • CLIA Code: 28D1089650
  • Facility Name: MID PLAINS PODIATRY, PC
  • Facility Address: 2821 S 87TH AVE
    OMAHA, NE
    ZIP 68124
  • Facility Phone: 402 315-4344
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. ELIZABETH M. KLAWITTER
  • NPI Number: 1770739773
  • Taxonomy: 261QP1100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D1089650
LAB Type Physician Office
Facility Name MID PLAINS PODIATRY, PC
Street 2821 S 87TH AVE
City OMAHA
State NE
ZIP 68124
Phone 402 315-4344
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Physician Office
Lab Director MS. ELIZABETH M. KLAWITTER

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