28D2149651 CLIA NUMBER - UNITED VASCULAR OF OMAHA, LLC

Laboratory Demographics

CLIA Number: 28D2149651

Facility Name: UNITED VASCULAR OF OMAHA, LLC

Facility Address:
17410 BURKE ST SUITE 105
OMAHA, NE
ZIP 68118
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Facility Phone Number: 531 444-4757

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1326551623

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	28D2149651
LAB Type	Ambulatory Surgery Center
Facility Name	UNITED VASCULAR OF OMAHA, LLC
Street	17410 BURKE ST SUITE 105
City	OMAHA
State	NE
ZIP	68118
Phone	531 444-4757
CertificateType	4
CertificateEffectiveDate	5/30/2023
CertificateExpirationDate	5/29/2025
FacilityType	Waiver

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