28D2053531 CLIA NUMBER - ENCOR

Laboratory Demographics

CLIA Code: 28D2053531
Facility Name: ENCOR
Facility Address: 4715 S 132ND STREET
OMAHA, NE
ZIP 68137
Facility Phone: 402 444-6500
Facility Type: Other - COMMUNITY DD PROVIDER
Facility Type: Waiver
Lab Director: MS. DEBBIE HERBEL
NPI Number: 1992253967
Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	28D2053531
LAB Type	Other - COMMUNITY DD PROVIDER
Facility Name	ENCOR
Street	4715 S 132ND STREET
City	OMAHA
State	NE
ZIP	68137
Phone	402 444-6500
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	2/1/2025
Certificate Expiration Date	1/31/2027
Facility Type	Other - COMMUNITY DD PROVIDER
Lab Director	MS. DEBBIE HERBEL

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