28D2288012 CLIA NUMBER - UROLOGY CENTER, PC - SPECIALTY CLINICS, THE

Laboratory Demographics

  • CLIA Code: 28D2288012
  • Facility Name: UROLOGY CENTER, PC - SPECIALTY CLINICS, THE
  • Facility Address: 105 S 90TH ST
    OMAHA, NE
    ZIP 68114
  • Facility Phone: 402 397-9800
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JON J. MORTON
  • NPI Number: 1114919875
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 28D2288012
LAB Type Physician Office
Facility Name UROLOGY CENTER, PC - SPECIALTY CLINICS, THE
Street 105 S 90TH ST
City OMAHA
State NE
ZIP 68114
Phone 402 397-9800
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/23/2024
Certificate Expiration Date 7/22/2026
Facility Type Physician Office
Lab Director JON J. MORTON

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This page was last updated on: 6/4/2025