28D2052835 CLIA NUMBER - CHILDREN'S PHYSICIANS - CREIGHTON

Laboratory Demographics

  • CLIA Code: 28D2052835
  • Facility Name: CHILDREN'S PHYSICIANS - CREIGHTON
  • Facility Address: 2412 CUMING STREET #103
    OMAHA, NE
    ZIP 68131
  • Facility Phone: (402) 955-8100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ANTHONY YAGHMOUR
  • NPI Number: 1366601080
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D2052835
LAB Type Physician Office
Facility Name CHILDREN'S PHYSICIANS - CREIGHTON
Street 2412 CUMING STREET #103
City OMAHA
State NE
ZIP 68131
Phone 4029558100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2025
Certificate Expiration Date 10/3/2027
Facility Type Physician Office
Lab Director DR. ANTHONY YAGHMOUR

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This page was last updated on: 5/18/2026