28D0454840 CLIA NUMBER - PAWNEE COUNTY RURAL HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 28D0454840
  • Facility Name: PAWNEE COUNTY RURAL HEALTH CLINIC
  • Facility Address: 600 I STREET
    PAWNEE CITY, NE
    ZIP 68420
  • Facility Phone: 402 852-2231
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DR. KENT J. NISS
  • NPI Number: 1851345573
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D0454840
LAB Type Other
Facility Name PAWNEE COUNTY RURAL HEALTH CLINIC
Street 600 I STREET
City PAWNEE CITY
State NE
ZIP 68420
Phone 402 852-2231
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type Other
Lab Director DR. KENT J. NISS

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This page was last updated on: 9/29/2025