28D2003587 CLIA NUMBER - METHODIST ENDOSCOPY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 28D2003587
  • Facility Name: METHODIST ENDOSCOPY CENTER, LLC
  • Facility Address: 515 NORTH 162ND AVENUE, SUITE 201
    OMAHA, NE
    ZIP 68118
  • Facility Phone: 402 505-8708
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. TYRON A. ALLI
  • NPI Number: 1083946149
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D2003587
LAB Type Ambulatory Surgery Center
Facility Name METHODIST ENDOSCOPY CENTER, LLC
Street 515 NORTH 162ND AVENUE, SUITE 201
City OMAHA
State NE
ZIP 68118
Phone 402 505-8708
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2024
Certificate Expiration Date 2/11/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. TYRON A. ALLI

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