28D2045665 CLIA NUMBER - IMMANUEL PATHWAYS

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CLIA Record

Field Name Field Value
CLIA Number 28D2045665
LAB Type Physician Office
Facility Name IMMANUEL PATHWAYS
Street 5755 SORENSON PARKWAY
City OMAHA
State NE
ZIP 68152
Phone 402 991-0330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2024
Certificate Expiration Date 8/16/2026
Facility Type Physician Office
Lab Director JENNIFER J. VACEK

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