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

Laboratory Demographics

CLIA Number: 28D2217285

Facility Name: UNIVERSITY OF NEBRASKA MEDICAL CENTER PEDIATRIC DENTISTRY

Facility Address:
6902 PINE ST
OMAHA, NE
ZIP 68106
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Facility Phone Number: 402 559-6100

Facility Type: Other - COLLEGE OF DENTISTRY PEDI

Certificate Type: Waiver

NPI Number: 1841885647

Taxonomy: 332H00000X - Eyewear Supplier
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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
CertificateType	4
CertificateEffectiveDate	3/19/2023
CertificateExpirationDate	3/18/2025
FacilityType	Waiver

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