28D2261486 CLIA NUMBER - CREIGHTON UNIVERSITY, BY AND THROUGH ITS ATHLETIC DEPARTMENT

Laboratory Demographics

CLIA Number: 28D2261486

Facility Name: CREIGHTON UNIVERSITY, BY AND THROUGH ITS ATHLETIC DEPARTMENT

Facility Address:
625 FLORENCE BLVD
OMAHA, NE
ZIP 68102
Get Directions

Facility Phone Number: 402 280-2720

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1407139132

Taxonomy: 261QS1000X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	28D2261486
LAB Type	Practitioner Other
Facility Name	CREIGHTON UNIVERSITY, BY AND THROUGH ITS ATHLETIC DEPARTMENT
Street	625 FLORENCE BLVD
City	OMAHA
State	NE
ZIP	68102
Phone	402 280-2720
CertificateType	4
CertificateEffectiveDate	6/1/2022
CertificateExpirationDate	5/31/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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