28D2143836 CLIA NUMBER - NM ELKHORN

Laboratory Demographics

  • CLIA Code: 28D2143836
  • Facility Name: NM ELKHORN
  • Facility Address: 20310 BLUE SAGE PARKWAY
    OMAHA, NE
    ZIP 68130
  • Facility Phone: 402 559-0111
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JASON PATERA

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CLIA Record

Field Name Field Value
CLIA Number 28D2143836
LAB Type Physician Office
Facility Name NM ELKHORN
Street 20310 BLUE SAGE PARKWAY
City OMAHA
State NE
ZIP 68130
Phone 402 559-0111
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 2/6/2024
Certificate Expiration Date 2/5/2026
Facility Type Physician Office
Lab Director DR. JASON PATERA

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