28D2310703 CLIA NUMBER - HEARTWISE MENTAL HEALTH

Laboratory Demographics

  • CLIA Code: 28D2310703
  • Facility Name: HEARTWISE MENTAL HEALTH
  • Facility Address: 2806 S 143 PLAZA
    OMAHA, NE
    ZIP 68144
  • Facility Phone: 718 400-9077
  • Facility Type: Other - OUTPATIENT SUD TREATMENT
  • Facility Type: Waiver
  • Lab Director: ZALMEN LOVI
  • NPI Number: 1053141176
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D2310703
LAB Type Other - OUTPATIENT SUD TREATMENT
Facility Name HEARTWISE MENTAL HEALTH
Street 2806 S 143 PLAZA
City OMAHA
State NE
ZIP 68144
Phone 718 400-9077
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2024
Certificate Expiration Date 9/8/2026
Facility Type Other - OUTPATIENT SUD TREATMENT
Lab Director ZALMEN LOVI

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