28D2151901 CLIA NUMBER - VANCE THOMPSON VISION CLINIC PROF LLC

Home > CLIA Lookup > 28D2151901

Laboratory Demographics

CLIA Number: 28D2151901

Facility Name: VANCE THOMPSON VISION CLINIC PROF LLC

Facility Address:
4909 S 118TH STREET
OMAHA, NE
ZIP 68137
Get Directions

Facility Phone Number: 402 397-2010

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1992343610

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	28D2151901
LAB Type	Physician Office
Facility Name	VANCE THOMPSON VISION CLINIC PROF LLC
Street	4909 S 118TH STREET
City	OMAHA
State	NE
ZIP	68137
Phone	402 397-2010
CertificateType	4
CertificateEffectiveDate	7/31/2022
CertificateExpirationDate	7/30/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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