28D2255694 CLIA NUMBER - OMAHA TREATMENT CENTER, LLC BAART PROGRAMS OMAHA WEST

Laboratory Demographics

CLIA Number: 28D2255694

Facility Name: OMAHA TREATMENT CENTER, LLC BAART PROGRAMS OMAHA WEST

Facility Address:
11215 JOHN GALT BOULEVARD
OMAHA, NE
ZIP 68137
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Facility Phone Number: 402 592-5900

Facility Type: Other - NARCOTIC TREATMENT PRGM

Certificate Type: Waiver

NPI Number: 1073874731

Taxonomy: 261QM2800X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

CLIA Record

Field Name	Field Value
CLIA Number	28D2255694
LAB Type	Other - NARCOTIC TREATMENT PRGM
Facility Name	OMAHA TREATMENT CENTER, LLC BAART PROGRAMS OMAHA WEST
Street	11215 JOHN GALT BOULEVARD
City	OMAHA
State	NE
ZIP	68137
Phone	402 592-5900
CertificateType	4
CertificateEffectiveDate	3/16/2024
CertificateExpirationDate	3/15/2026
FacilityType	Waiver

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