28D2072700 CLIA NUMBER - MINUTECLINIC DIAGNOSTIC OF NEBRASKA, LLC #02741

Laboratory Demographics

  • CLIA Code: 28D2072700
  • Facility Name: MINUTECLINIC DIAGNOSTIC OF NEBRASKA, LLC #02741
  • Facility Address: 6901 SOUTH 84TH STREET
    LA VISTA, NE
    ZIP 68128
  • Facility Phone: 866 389-2727
  • Facility Type: Other - LTD SERVIC HLTH CARE CLIN
  • Facility Type: Waiver
  • Lab Director: MS. GINA MARCON
  • NPI Number: 1063644466
  • Taxonomy: 363LF0000X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 28D2072700
LAB Type Other - LTD SERVIC HLTH CARE CLIN
Facility Name MINUTECLINIC DIAGNOSTIC OF NEBRASKA, LLC #02741
Street 6901 SOUTH 84TH STREET
City LA VISTA
State NE
ZIP 68128
Phone 866 389-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2024
Certificate Expiration Date 2/3/2026
Facility Type Other - LTD SERVIC HLTH CARE CLIN
Lab Director MS. GINA MARCON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025