28D2260202 CLIA NUMBER - NEBRASKA AMBULATORY SURGICAL CENTER, LLC, THE

Laboratory Demographics

  • CLIA Code: 28D2260202
  • Facility Name: NEBRASKA AMBULATORY SURGICAL CENTER, LLC, THE
  • Facility Address: 5620 S 27TH STREET, SUITE 200
    LINCOLN, NE
    ZIP 68512
  • Facility Phone: 531 249-5030
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. DANIEL J. TOMES
  • NPI Number: 1962458323
  • Taxonomy: 207XX0004X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 28D2260202
LAB Type Ambulatory Surgery Center
Facility Name NEBRASKA AMBULATORY SURGICAL CENTER, LLC, THE
Street 5620 S 27TH STREET, SUITE 200
City LINCOLN
State NE
ZIP 68512
Phone 531 249-5030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2024
Certificate Expiration Date 5/15/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. DANIEL J. TOMES

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