28D1106560 CLIA NUMBER - FAMILY DOC, LLC,THE

Laboratory Demographics

  • CLIA Code: 28D1106560
  • Facility Name: FAMILY DOC, LLC,THE
  • Facility Address: 2211 CAPEHART ROAD, SUITE 104
    BELLEVUE, NE
    ZIP 68123
  • Facility Phone: 402 933-4111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KELLY D. COLLINS

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CLIA Record

Field Name Field Value
CLIA Number 28D1106560
LAB Type Physician Office
Facility Name FAMILY DOC, LLC,THE
Street 2211 CAPEHART ROAD, SUITE 104
City BELLEVUE
State NE
ZIP 68123
Phone 402 933-4111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2025
Certificate Expiration Date 6/5/2027
Facility Type Physician Office
Lab Director DR. KELLY D. COLLINS

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This page was last updated on: 6/4/2025