28D0880339 CLIA NUMBER - CHI HEALTH CLINIC ENDOCRINOLOGY IMMANUEL

Laboratory Demographics

  • CLIA Code: 28D0880339
  • Facility Name: CHI HEALTH CLINIC ENDOCRINOLOGY IMMANUEL
  • Facility Address: 6829 N 72ND STREET SUITE 3100
    OMAHA, NE
    ZIP 68122
  • Facility Phone: 402 717-0785
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MOHSEN ZENA
  • NPI Number: 1104939487
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 28D0880339
LAB Type Physician Office
Facility Name CHI HEALTH CLINIC ENDOCRINOLOGY IMMANUEL
Street 6829 N 72ND STREET SUITE 3100
City OMAHA
State NE
ZIP 68122
Phone 402 717-0785
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 Physician Office
Lab Director DR. MOHSEN ZENA

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