28D2283349 CLIA NUMBER - MEDELITE URGENT CARE, LLC

Laboratory Demographics

CLIA Number: 28D2283349

Facility Name: MEDELITE URGENT CARE, LLC

Facility Address:
7120 S 69TH ST SUITE 101A
LINCOLN, NE
ZIP 68516
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Facility Phone Number: 402 340-2505

Facility Type: Other - URGENT CARE FACILITY

Certificate Type: Waiver

NPI Number: 1932885381

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	28D2283349
LAB Type	Other - URGENT CARE FACILITY
Facility Name	MEDELITE URGENT CARE, LLC
Street	7120 S 69TH ST SUITE 101A
City	LINCOLN
State	NE
ZIP	68516
Phone	402 340-2505
CertificateType	4
CertificateEffectiveDate	6/6/2023
CertificateExpirationDate	6/5/2025
FacilityType	Waiver

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