28D2144582 CLIA NUMBER - DIALYSIS CLINIC, INC

Laboratory Demographics

CLIA Number: 28D2144582

Facility Name: DIALYSIS CLINIC, INC

Facility Address:
7070 SPRING ST
OMAHA, NE
ZIP 68106
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Facility Phone Number: 402 505-8004

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1528581949

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	28D2144582
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	DIALYSIS CLINIC, INC
Street	7070 SPRING ST
City	OMAHA
State	NE
ZIP	68106
Phone	402 505-8004
CertificateType	4
CertificateEffectiveDate	2/20/2024
CertificateExpirationDate	2/19/2026
FacilityType	Waiver

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