28D1091940 CLIA NUMBER - POPP COSMETIC SURGERY

Laboratory Demographics

  • CLIA Code: 28D1091940
  • Facility Name: POPP COSMETIC SURGERY
  • Facility Address: 11919 GRANT STREET, SUITE 100
    OMAHA, NE
    ZIP 68164
  • Facility Phone: 402 391-4558
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JEFFREY C. POPP
  • NPI Number: 1013984665
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D1091940
LAB Type Ambulatory Surgery Center
Facility Name POPP COSMETIC SURGERY
Street 11919 GRANT STREET, SUITE 100
City OMAHA
State NE
ZIP 68164
Phone 402 391-4558
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Ambulatory Surgery Center
Lab Director JEFFREY C. POPP

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