28D2202217 CLIA NUMBER - CHILDREN'S NEBRASKA OUTPATIENT SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 28D2202217
  • Facility Name: CHILDREN'S NEBRASKA OUTPATIENT SURGERY CENTER
  • Facility Address: 110 NORTH 175TH STREET SUITE 1600
    OMAHA, NE
    ZIP 68118
  • Facility Phone: 402 955-8207
  • Facility Type: Other - SURGERY CENTER
  • Facility Type: Certificate of Compliance
  • Lab Director: PETER A. ABASOLO
  • NPI Number: 1033359732
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 28D2202217
LAB Type Other - SURGERY CENTER
Facility Name CHILDREN'S NEBRASKA OUTPATIENT SURGERY CENTER
Street 110 NORTH 175TH STREET SUITE 1600
City OMAHA
State NE
ZIP 68118
Phone 402 955-8207
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/15/2025
Certificate Expiration Date 10/14/2027
Facility Type Other - SURGERY CENTER
Lab Director PETER A. ABASOLO

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