28D2280122 CLIA NUMBER - DERMATOLOGY SPECIALISTS OF OMAHA

Laboratory Demographics

  • CLIA Code: 28D2280122
  • Facility Name: DERMATOLOGY SPECIALISTS OF OMAHA
  • Facility Address: 1825 N 205TH STREET
    OMAHA, NE
    ZIP 68022
  • Facility Phone: 402 330-4555
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SARA E. WEST
  • NPI Number: 1871541078
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 28D2280122
LAB Type Physician Office
Facility Name DERMATOLOGY SPECIALISTS OF OMAHA
Street 1825 N 205TH STREET
City OMAHA
State NE
ZIP 68022
Phone 402 330-4555
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Physician Office
Lab Director SARA E. WEST

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