28D2185082 CLIA NUMBER - ELEMENT PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 28D2185082
  • Facility Name: ELEMENT PRIMARY CARE
  • Facility Address: 10020 NICOLAS, SUITE 106
    OMAHA, NE
    ZIP 68114
  • Facility Phone: 402 226-5211
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: WENDY L. PECORARO
  • NPI Number: 1972139228
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 28D2185082
LAB Type Independent
Facility Name ELEMENT PRIMARY CARE
Street 10020 NICOLAS, SUITE 106
City OMAHA
State NE
ZIP 68114
Phone 402 226-5211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2024
Certificate Expiration Date 5/28/2026
Facility Type Independent
Lab Director WENDY L. PECORARO

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