28D2112623 CLIA NUMBER - OMAHA INTEGRATIVE CARE

Laboratory Demographics

  • CLIA Code: 28D2112623
  • Facility Name: OMAHA INTEGRATIVE CARE
  • Facility Address: 2126 NORTH 117TH AVENUE
    OMAHA, NE
    ZIP 68164
  • Facility Phone: 402 934-1617
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MS. ALLISON M. MCKAMY
  • NPI Number: 1194384750
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 28D2112623
LAB Type Practitioner Other
Facility Name OMAHA INTEGRATIVE CARE
Street 2126 NORTH 117TH AVENUE
City OMAHA
State NE
ZIP 68164
Phone 402 934-1617
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2024
Certificate Expiration Date 5/2/2026
Facility Type Practitioner Other
Lab Director MS. ALLISON M. MCKAMY

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