28D2065107 CLIA NUMBER - CHI HEALTH CLINIC UROLOGY-CUMC BERGAN CAMPUS

Laboratory Demographics

  • CLIA Code: 28D2065107
  • Facility Name: CHI HEALTH CLINIC UROLOGY-CUMC BERGAN CAMPUS
  • Facility Address: CREIGHTON UNIVERSITY MEDICAL CENTER-BERGAN MERCY 7710 MERCY RD, SUITE 1000
    OMAHA, NE
    ZIP 68124
  • Facility Phone: 402 717-2500
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. MICHAEL P. FELONEY
  • NPI Number: 1548287907
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 28D2065107
LAB Type Physician Office
Facility Name CHI HEALTH CLINIC UROLOGY-CUMC BERGAN CAMPUS
Street CREIGHTON UNIVERSITY MEDICAL CENTER-BERGAN MERCY 7710 MERCY RD, SUITE 1000
City OMAHA
State NE
ZIP 68124
Phone 402 717-2500
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 9/3/2025
Certificate Expiration Date 9/2/2027
Facility Type Physician Office
Lab Director DR. MICHAEL P. FELONEY

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