28D2043067 CLIA NUMBER - NORTHWEST SCHOOL BASED HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 28D2043067
  • Facility Name: NORTHWEST SCHOOL BASED HEALTH CENTER
  • Facility Address: 8204 CROWNPOINT AVENUE
    OMAHA, NE
    ZIP 68134
  • Facility Phone: 402 916-5964
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: DR. GREGORY U. OCHUBA
  • NPI Number: 1275557845
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 28D2043067
LAB Type Federally Qualified Health Center
Facility Name NORTHWEST SCHOOL BASED HEALTH CENTER
Street 8204 CROWNPOINT AVENUE
City OMAHA
State NE
ZIP 68134
Phone 402 916-5964
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/26/2024
Certificate Expiration Date 6/25/2026
Facility Type Federally Qualified Health Center
Lab Director DR. GREGORY U. OCHUBA

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