28D2106028 CLIA NUMBER - MID-CITY OB/GYN MIDWIVES

Laboratory Demographics

  • CLIA Code: 28D2106028
  • Facility Name: MID-CITY OB/GYN MIDWIVES
  • Facility Address: 515 N 162ND AVENUE, SUITE 102
    OMAHA, NE
    ZIP 68118
  • Facility Phone: 402 505-9493
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. KENT H. SIEMERS

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CLIA Record

Field Name Field Value
CLIA Number 28D2106028
LAB Type Physician Office
Facility Name MID-CITY OB/GYN MIDWIVES
Street 515 N 162ND AVENUE, SUITE 102
City OMAHA
State NE
ZIP 68118
Phone 402 505-9493
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 12/8/2023
Certificate Expiration Date 12/7/2025
Facility Type Physician Office
Lab Director DR. KENT H. SIEMERS

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This page was last updated on: 6/4/2025