28D2091645 CLIA NUMBER - DIAMOND CHIROPRACTIC

Laboratory Demographics

  • CLIA Code: 28D2091645
  • Facility Name: DIAMOND CHIROPRACTIC
  • Facility Address: 12411 W CENTER ROAD, SUITE 105
    OMAHA, NE
    ZIP 68144
  • Facility Phone: 402 505-4414
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT G. NILLES
  • NPI Number: 1003217175
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 28D2091645
LAB Type Practitioner Other
Facility Name DIAMOND CHIROPRACTIC
Street 12411 W CENTER ROAD, SUITE 105
City OMAHA
State NE
ZIP 68144
Phone 402 505-4414
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2025
Certificate Expiration Date 2/16/2027
Facility Type Practitioner Other
Lab Director DR. ROBERT G. NILLES

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