28D0455414 CLIA NUMBER - CEDAR RAPIDS MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 28D0455414
  • Facility Name: CEDAR RAPIDS MEDICAL CLINIC
  • Facility Address: 106 SOUTH 3RD STREET
    CEDAR RAPIDS, NE
    ZIP 68627
  • Facility Phone: 308 358-0615
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NIKKI R. HEIDEMANN
  • NPI Number: 1932287570
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 28D0455414
LAB Type Physician Office
Facility Name CEDAR RAPIDS MEDICAL CLINIC
Street 106 SOUTH 3RD STREET
City CEDAR RAPIDS
State NE
ZIP 68627
Phone 308 358-0615
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director NIKKI R. HEIDEMANN

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