28D2070359 CLIA NUMBER - R CHOICE SURGICAL CENTER

Laboratory Demographics

  • CLIA Code: 28D2070359
  • Facility Name: R CHOICE SURGICAL CENTER
  • Facility Address: 2900 ELK LANE
    FREMONT, NE
    ZIP 68025
  • Facility Phone: 402 721-8895
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SOUBRATA V. RAIKAR
  • NPI Number: 1356729636
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D2070359
LAB Type Physician Office
Facility Name R CHOICE SURGICAL CENTER
Street 2900 ELK LANE
City FREMONT
State NE
ZIP 68025
Phone 402 721-8895
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Physician Office
Lab Director DR. SOUBRATA V. RAIKAR

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