28D2158655 CLIA NUMBER - ST GEORGE FAMILY PRACTICE PC

Laboratory Demographics

  • CLIA Code: 28D2158655
  • Facility Name: ST GEORGE FAMILY PRACTICE PC
  • Facility Address: 3440 SOUTH 50TH STREET
    OMAHA, NE
    ZIP 68106
  • Facility Phone: 402 404-6061
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MOHSEN ABOU SEIF
  • NPI Number: 1447526157
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 28D2158655
LAB Type Physician Office
Facility Name ST GEORGE FAMILY PRACTICE PC
Street 3440 SOUTH 50TH STREET
City OMAHA
State NE
ZIP 68106
Phone 402 404-6061
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2024
Certificate Expiration Date 12/3/2026
Facility Type Physician Office
Lab Director DR. MOHSEN ABOU SEIF

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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