28D2217285 CLIA NUMBER - UNIVERSITY OF NEBRASKA MEDICAL CENTER PEDIATRIC DENTISTRY

Laboratory Demographics

  • CLIA Code: 28D2217285
  • Facility Name: UNIVERSITY OF NEBRASKA MEDICAL CENTER PEDIATRIC DENTISTRY
  • Facility Address: 6902 PINE ST
    OMAHA, NE
    ZIP 68106
  • Facility Phone: 402 559-6100
  • Facility Type: Other - COLLEGE OF DENTISTRY PEDI
  • Facility Type: Waiver
  • Lab Director: DR. BRYAN SKAR
  • NPI Number: 1841885647
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 28D2217285
LAB Type Other - COLLEGE OF DENTISTRY PEDI
Facility Name UNIVERSITY OF NEBRASKA MEDICAL CENTER PEDIATRIC DENTISTRY
Street 6902 PINE ST
City OMAHA
State NE
ZIP 68106
Phone 402 559-6100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2025
Certificate Expiration Date 3/18/2027
Facility Type Other - COLLEGE OF DENTISTRY PEDI
Lab Director DR. BRYAN SKAR

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This page was last updated on: 3/20/2025