28D2051578 CLIA NUMBER - PACIFIC SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 28D2051578
  • Facility Name: PACIFIC SURGERY CENTER, LLC
  • Facility Address: 10707 PACIFIC STREET, SUITE 100
    OMAHA, NE
    ZIP 68114
  • Facility Phone: 605 496-2785
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. ANDREW F. TRAINER
  • NPI Number: 1720334097
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D2051578
LAB Type Ambulatory Surgery Center
Facility Name PACIFIC SURGERY CENTER, LLC
Street 10707 PACIFIC STREET, SUITE 100
City OMAHA
State NE
ZIP 68114
Phone 605 496-2785
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. ANDREW F. TRAINER

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