28D2298212 CLIA NUMBER - MAXWELL LARWEH MD

Laboratory Demographics

  • CLIA Code: 28D2298212
  • Facility Name: MAXWELL LARWEH MD
  • Facility Address: 12717 S 28TH AVE STE 2
    BELLEVUE, NE
    ZIP 68123
  • Facility Phone: (531) 201-2422
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAXWELL LARWEH
  • NPI Number: 1538147103
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 28D2298212
LAB Type Physician Office
Facility Name MAXWELL LARWEH MD
Street 12717 S 28TH AVE STE 2
City BELLEVUE
State NE
ZIP 68123
Phone 5312012422
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2026
Certificate Expiration Date 1/29/2028
Facility Type Physician Office
Lab Director MAXWELL LARWEH

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This page was last updated on: 5/18/2026