28D2224710 CLIA NUMBER - IMAGINE BY NORTHPOINT OMAHA

Laboratory Demographics

CLIA Number: 28D2224710

Facility Name: IMAGINE BY NORTHPOINT OMAHA

Facility Address:
8710 FREDERICK STREET, SUITE 100
OMAHA, NE
ZIP 68124
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Facility Phone Number: 208 605-7070

Facility Type: Other - REHAB TREATMENT CENTER

Certificate Type: Waiver

NPI Number: 1477155901

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	28D2224710
LAB Type	Other - REHAB TREATMENT CENTER
Facility Name	IMAGINE BY NORTHPOINT OMAHA
Street	8710 FREDERICK STREET, SUITE 100
City	OMAHA
State	NE
ZIP	68124
Phone	208 605-7070
CertificateType	4
CertificateEffectiveDate	5/14/2023
CertificateExpirationDate	5/13/2025
FacilityType	Waiver

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