28D2314551 CLIA NUMBER - CHARLES DREW HEALTH CENTER, INC AT BENSON SBHS

Laboratory Demographics

  • CLIA Code: 28D2314551
  • Facility Name: CHARLES DREW HEALTH CENTER, INC AT BENSON SBHS
  • Facility Address: 5120 MAPLE ST STUITE 101
    OMAHA, NE
    ZIP 68104
  • Facility Phone: 402 457-1206
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: SONIA ACHARYA GUPTA
  • NPI Number: 1629530373
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D2314551
LAB Type Federally Qualified Health Center
Facility Name CHARLES DREW HEALTH CENTER, INC AT BENSON SBHS
Street 5120 MAPLE ST STUITE 101
City OMAHA
State NE
ZIP 68104
Phone 402 457-1206
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/21/2024
Certificate Expiration Date 11/20/2026
Facility Type Federally Qualified Health Center
Lab Director SONIA ACHARYA GUPTA

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