28D2311048 CLIA NUMBER - JOURNEY2WELLNESS

Laboratory Demographics

  • CLIA Code: 28D2311048
  • Facility Name: JOURNEY2WELLNESS
  • Facility Address: 401 EAST GOLD COAST ROAD #340
    PAPILLION, NE
    ZIP 68046
  • Facility Phone: (402) 884-9059
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: LATRICE D. MARTIN
  • NPI Number: 1316775091
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D2311048
LAB Type Practitioner Other
Facility Name JOURNEY2WELLNESS
Street 401 EAST GOLD COAST ROAD #340
City PAPILLION
State NE
ZIP 68046
Phone 4028849059
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2024
Certificate Expiration Date 9/15/2026
Facility Type Practitioner Other
Lab Director LATRICE D. MARTIN

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