28D2310056 CLIA NUMBER - NOVA TREATMENT COMMUNITY, INC

Laboratory Demographics

  • CLIA Code: 28D2310056
  • Facility Name: NOVA TREATMENT COMMUNITY, INC
  • Facility Address: 8502 MORMON BRIDGE ROAD
    OMAHA, NE
    ZIP 68152
  • Facility Phone: 402 455-8303
  • Facility Type: Other - RESIDENTIAL TREATMENT FAC
  • Facility Type: Waiver
  • Lab Director: RENEE S. LEWIS
  • NPI Number: 1730393133
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 28D2310056
LAB Type Other - RESIDENTIAL TREATMENT FAC
Facility Name NOVA TREATMENT COMMUNITY, INC
Street 8502 MORMON BRIDGE ROAD
City OMAHA
State NE
ZIP 68152
Phone 402 455-8303
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2024
Certificate Expiration Date 8/25/2026
Facility Type Other - RESIDENTIAL TREATMENT FAC
Lab Director RENEE S. LEWIS

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This page was last updated on: 3/20/2025