28D2107418 CLIA NUMBER - PRIMARY CARE HOUSE CALLS, PC

Laboratory Demographics

CLIA Number: 28D2107418

Facility Name: PRIMARY CARE HOUSE CALLS, PC

Facility Address:
5601 SOUTH 59TH STREET
LINCOLN, NE
ZIP 68516
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Facility Phone Number: 507 235-9334

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1861864605

Taxonomy: 261QP2300X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	1/13/2024
CertificateExpirationDate	1/12/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024