28D2282298 CLIA NUMBER - CHOICE SURGICAL CENTER, LLC

Laboratory Demographics

  • CLIA Code: 28D2282298
  • Facility Name: CHOICE SURGICAL CENTER, LLC
  • Facility Address: 8814 S MAPLE ST
    OMAHA, NE
    ZIP 68134
  • Facility Phone: 402 391-9100
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. SOUBRATA V. RAIKAR
  • NPI Number: 1295429496
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D2282298
LAB Type Ambulatory Surgery Center
Facility Name CHOICE SURGICAL CENTER, LLC
Street 8814 S MAPLE ST
City OMAHA
State NE
ZIP 68134
Phone 402 391-9100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2025
Certificate Expiration Date 5/18/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. SOUBRATA V. RAIKAR

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