28D2016406 CLIA NUMBER - MIDWEST PAIN CLINIC, PC

Laboratory Demographics

  • CLIA Code: 28D2016406
  • Facility Name: MIDWEST PAIN CLINIC, PC
  • Facility Address: 825 NORTH 90TH STREET, SUITE A
    OMAHA, NE
    ZIP 68114
  • Facility Phone: 402 391-7246
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GREGORY R. POST
  • NPI Number: 1043482094
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 28D2016406
LAB Type Physician Office
Facility Name MIDWEST PAIN CLINIC, PC
Street 825 NORTH 90TH STREET, SUITE A
City OMAHA
State NE
ZIP 68114
Phone 402 391-7246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type Physician Office
Lab Director GREGORY R. POST

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