28D2075174 CLIA NUMBER - JOHN H MCDOUGALL OD PC DBA ECS - PINE LAKE

Laboratory Demographics

  • CLIA Code: 28D2075174
  • Facility Name: JOHN H MCDOUGALL OD PC DBA ECS - PINE LAKE
  • Facility Address: 2943 PINE LAKE ROAD
    LINCOLN, NE
    ZIP 68516
  • Facility Phone: 402 420-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIAN BRIGHTMAN
  • NPI Number: 1831652171
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 28D2075174
LAB Type Physician Office
Facility Name JOHN H MCDOUGALL OD PC DBA ECS - PINE LAKE
Street 2943 PINE LAKE ROAD
City LINCOLN
State NE
ZIP 68516
Phone 402 420-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2025
Certificate Expiration Date 7/6/2027
Facility Type Physician Office
Lab Director BRIAN BRIGHTMAN

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