28D2109342 CLIA NUMBER - NEBRASKA URBAN INDIAN HEALTH COALITION

Laboratory Demographics

CLIA Number: 28D2109342

Facility Name: NEBRASKA URBAN INDIAN HEALTH COALITION

Facility Address:
2226 N STREET
OMAHA, NE
ZIP 68107
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Facility Phone Number: 402 346-0902

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1700175221

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	28D2109342
LAB Type	Community Clinic
Facility Name	NEBRASKA URBAN INDIAN HEALTH COALITION
Street	2226 N STREET
City	OMAHA
State	NE
ZIP	68107
Phone	402 346-0902
CertificateType	4
CertificateEffectiveDate	2/23/2024
CertificateExpirationDate	2/22/2026
FacilityType	Waiver

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