28D2025614 CLIA NUMBER - BRYAN MEDICAL CENTER IMAGING & DIAGNOSTIC CENTER

Laboratory Demographics

  • CLIA Code: 28D2025614
  • Facility Name: BRYAN MEDICAL CENTER IMAGING & DIAGNOSTIC CENTER
  • Facility Address: 3901 PINE LAKE ROAD, SUITE 100
    LINCOLN, NE
    ZIP 68516
  • Facility Phone: 402 481-6060
  • Facility Type: Other - IMAGING & DIAGNOSTIC CENT
  • Facility Type: Waiver
  • Lab Director: CHRISTINA P. NICKEL
  • NPI Number: 1699384370
  • Taxonomy: 2085R0202X - Radiology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 28D2025614
LAB Type Other - IMAGING & DIAGNOSTIC CENT
Facility Name BRYAN MEDICAL CENTER IMAGING & DIAGNOSTIC CENTER
Street 3901 PINE LAKE ROAD, SUITE 100
City LINCOLN
State NE
ZIP 68516
Phone 402 481-6060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2025
Certificate Expiration Date 6/13/2027
Facility Type Other - IMAGING & DIAGNOSTIC CENT
Lab Director CHRISTINA P. NICKEL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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