28D2162998 CLIA NUMBER - CHI HEALTH CLINIC EAST LINCOLN INTERNAL MEDICINE

Laboratory Demographics

CLIA Number: 28D2162998

Facility Name: CHI HEALTH CLINIC EAST LINCOLN INTERNAL MEDICINE

Facility Address:
4501 S 70TH STREET, SUITE 130
LINCOLN, NE
ZIP 68516
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Facility Phone Number: 402 484-4940

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1598423220

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	28D2162998
LAB Type	Physician Office
Facility Name	CHI HEALTH CLINIC EAST LINCOLN INTERNAL MEDICINE
Street	4501 S 70TH STREET, SUITE 130
City	LINCOLN
State	NE
ZIP	68516
Phone	402 484-4940
CertificateType	4
CertificateEffectiveDate	3/5/2023
CertificateExpirationDate	3/4/2025
FacilityType	Waiver

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