28D2107418 CLIA NUMBER - PRIMARY CARE HOUSE CALLS, PC

Laboratory Demographics

  • CLIA Code: 28D2107418
  • Facility Name: PRIMARY CARE HOUSE CALLS, PC
  • Facility Address: 5601 SOUTH 59TH STREET
    LINCOLN, NE
    ZIP 68516
  • Facility Phone: 507 235-9334
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. TIMOTHY C. BACHENBERG
  • NPI Number: 1861864605
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D2107418
LAB Type Physician Office
Facility Name PRIMARY CARE HOUSE CALLS, PC
Street 5601 SOUTH 59TH STREET
City LINCOLN
State NE
ZIP 68516
Phone 507 235-9334
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2024
Certificate Expiration Date 1/12/2026
Facility Type Physician Office
Lab Director DR. TIMOTHY C. BACHENBERG

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